s "{""SH MR"":[{""CPT-4"":""99211"",""DESC"":""OFFICE VISIT - ESTABLISHED PT"",""Revenue Code"":""510"",""Hospital Charge"":""457.21"",""Minimum Rate"":""134.88"",""Maximum Rate"":""134.88"",""Self-Pay Rate"":""134.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""85610"",""DESC"":""PROTHROMBIN TIME (PT)"",""Revenue Code"":""305"",""Hospital Charge"":""108"",""Minimum Rate"":""4.98"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.01"",""Aetna Rate"":""11.67"",""Anthem HMO Rate"":""4.98"",""Anthem PPO Rate"":""4.98"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""27.90"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""36416"",""DESC"":""COL CAPILLARY BLOOD FING-HEEL"",""Revenue Code"":""300"",""Hospital Charge"":""105.18"",""Minimum Rate"":""2.82"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""2.82"",""Anthem PPO Rate"":""2.82"",""CIGNA Rate"":""6.49"",""ConnectiCare Commercial Rate"":""11.04"",""ConnectiCare Exchange Rate"":""3.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""90736"",""DESC"":""VACN ZOSTAVAX (LIVE) S-C"",""Revenue Code"":""636"",""Hospital Charge"":""1624.99"",""Minimum Rate"":"" - "",""Maximum Rate"":""576.75"",""Self-Pay Rate"":""326.62"",""Aetna Rate"":""495.32"",""Anthem HMO Rate"":""576.75"",""Anthem PPO Rate"":""576.75"",""CIGNA Rate"":""481.14"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""99211"",""DESC"":""OFF VISIT - ESTAB PT MTM SERVC"",""Revenue Code"":""510"",""Hospital Charge"":""457.21"",""Minimum Rate"":""134.88"",""Maximum Rate"":""134.88"",""Self-Pay Rate"":""134.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""90673"",""DESC"":""VACN FLU VIRUS - FLUBLOK"",""Revenue Code"":""636"",""Hospital Charge"":""322.15"",""Minimum Rate"":"" - "",""Maximum Rate"":""118.95"",""Self-Pay Rate"":""64.75"",""Aetna Rate"":""82.98"",""Anthem HMO Rate"":""118.95"",""Anthem PPO Rate"":""118.95"",""CIGNA Rate"":""80.88"",""ConnectiCare Commercial Rate"":""72.41"",""ConnectiCare Exchange Rate"":""70.68"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90472"",""DESC"":""VACCINE ADMIN EACH ADD VACC"",""Revenue Code"":""771"",""Hospital Charge"":""125.86"",""Minimum Rate"":""37.13"",""Maximum Rate"":""107.19"",""Self-Pay Rate"":""37.13"",""Aetna Rate"":""86.10"",""Anthem HMO Rate"":""85.27"",""Anthem PPO Rate"":""85.27"",""CIGNA Rate"":""84.24"",""ConnectiCare Commercial Rate"":""107.19"",""ConnectiCare Exchange Rate"":""101.17"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""90632"",""DESC"":""VACN HEPATITIS A 50U-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""432.04"",""Minimum Rate"":"" - "",""Maximum Rate"":""157.42"",""Self-Pay Rate"":""86.84"",""Aetna Rate"":""133.44"",""Anthem HMO Rate"":""154.42"",""Anthem PPO Rate"":""154.42"",""CIGNA Rate"":""157.42"",""ConnectiCare Commercial Rate"":""109.17"",""ConnectiCare Exchange Rate"":""106.57"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90746"",""DESC"":""VACN HEPAT B 10MCG-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""306.14"",""Minimum Rate"":""61.53"",""Maximum Rate"":""264.67"",""Self-Pay Rate"":""61.53"",""Aetna Rate"":""159.04"",""Anthem HMO Rate"":""180.05"",""Anthem PPO Rate"":""180.05"",""CIGNA Rate"":""138.51"",""ConnectiCare Commercial Rate"":""124.19"",""ConnectiCare Exchange Rate"":""121.23"",""UnitedHealthcare\/Oxford Rate"":""264.67""},{""CPT-4"":""90656"",""DESC"":""VACN FLU VIRUS-FLUZONE ADLT PF"",""Revenue Code"":""636"",""Hospital Charge"":""142.07"",""Minimum Rate"":""28.56"",""Maximum Rate"":""51.90"",""Self-Pay Rate"":""28.56"",""Aetna Rate"":""40.39"",""Anthem HMO Rate"":""51.90"",""Anthem PPO Rate"":""51.90"",""CIGNA Rate"":""39.53"",""ConnectiCare Commercial Rate"":""35.25"",""ConnectiCare Exchange Rate"":""34.41"",""UnitedHealthcare\/Oxford Rate"":""42.52""},{""CPT-4"":""90732"",""DESC"":""VACN PNEUMOCOCC 25MCG-0.5ML"",""Revenue Code"":""636"",""Hospital Charge"":""637.13"",""Minimum Rate"":""128.06"",""Maximum Rate"":""455.70"",""Self-Pay Rate"":""128.06"",""Aetna Rate"":""273.83"",""Anthem HMO Rate"":""263.46"",""Anthem PPO Rate"":""263.46"",""CIGNA Rate"":""237.98"",""ConnectiCare Commercial Rate"":""213.82"",""ConnectiCare Exchange Rate"":""208.72"",""UnitedHealthcare\/Oxford Rate"":""455.70""},{""CPT-4"":""90733"",""DESC"":""VACN MENINGOCCAL 4MG-.5ML VL"",""Revenue Code"":""636"",""Hospital Charge"":""1233.77"",""Minimum Rate"":"" - "",""Maximum Rate"":""360.76"",""Self-Pay Rate"":""247.99"",""Aetna Rate"":""286.57"",""Anthem HMO Rate"":""360.76"",""Anthem PPO Rate"":""360.76"",""CIGNA Rate"":""278.66"",""ConnectiCare Commercial Rate"":""189.87"",""ConnectiCare Exchange Rate"":""185.35"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90662"",""DESC"":""VACN FLU VIRUS-FLUZONE HD ADLT"",""Revenue Code"":""636"",""Hospital Charge"":""128.57"",""Minimum Rate"":""25.84"",""Maximum Rate"":""212.84"",""Self-Pay Rate"":""25.84"",""Aetna Rate"":""139.24"",""Anthem HMO Rate"":""125.13"",""Anthem PPO Rate"":""125.13"",""CIGNA Rate"":""121.30"",""ConnectiCare Commercial Rate"":""99.87"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""212.84""},{""CPT-4"":""90670"",""DESC"":""VACN PNEUMOCC 13VAL CONJ 0.5ML"",""Revenue Code"":""636"",""Hospital Charge"":""1296.04"",""Minimum Rate"":""260.50"",""Maximum Rate"":""874.53"",""Self-Pay Rate"":""260.50"",""Aetna Rate"":""525.50"",""Anthem HMO Rate"":""530.32"",""Anthem PPO Rate"":""530.32"",""CIGNA Rate"":""455.31"",""ConnectiCare Commercial Rate"":""410.34"",""ConnectiCare Exchange Rate"":""400.57"",""UnitedHealthcare\/Oxford Rate"":""874.53""},{""CPT-4"":""90715"",""DESC"":""VACN ADACEL(Tdap) 0.5ML 7Y&>"",""Revenue Code"":""636"",""Hospital Charge"":""255.54"",""Minimum Rate"":"" - "",""Maximum Rate"":""87.84"",""Self-Pay Rate"":""51.36"",""Aetna Rate"":""78.27"",""Anthem HMO Rate"":""87.84"",""Anthem PPO Rate"":""87.84"",""CIGNA Rate"":""84.96"",""ConnectiCare Commercial Rate"":""59.63"",""ConnectiCare Exchange Rate"":""58.21"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE GENERAL"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""P9604"",""DESC"":""HOME SPECIMEN COLLECTION"",""Revenue Code"":""300"",""Hospital Charge"":""129.14"",""Minimum Rate"":""3.49"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""3.49"",""Anthem PPO Rate"":""3.49"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""13.80"",""ConnectiCare Exchange Rate"":""4.40"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""99211"",""DESC"":""OFF VISIT - ESTAB PT MTM SERVC"",""Revenue Code"":""510"",""Hospital Charge"":""457.21"",""Minimum Rate"":""134.88"",""Maximum Rate"":""134.88"",""Self-Pay Rate"":""134.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""85610"",""DESC"":""PROTHROMBIN TIME (PT)"",""Revenue Code"":""305"",""Hospital Charge"":""108"",""Minimum Rate"":""4.98"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.01"",""Aetna Rate"":""11.67"",""Anthem HMO Rate"":""4.98"",""Anthem PPO Rate"":""4.98"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""27.90"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""36416"",""DESC"":""COL CAPILLARY BLOOD FING-HEEL"",""Revenue Code"":""300"",""Hospital Charge"":""105.18"",""Minimum Rate"":""2.82"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""2.82"",""Anthem PPO Rate"":""2.82"",""CIGNA Rate"":""6.49"",""ConnectiCare Commercial Rate"":""11.04"",""ConnectiCare Exchange Rate"":""3.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""90736"",""DESC"":""VACN ZOSTAVAX (LIVE) S-C"",""Revenue Code"":""636"",""Hospital Charge"":""1624.99"",""Minimum Rate"":"" - "",""Maximum Rate"":""576.75"",""Self-Pay Rate"":""326.62"",""Aetna Rate"":""495.32"",""Anthem HMO Rate"":""576.75"",""Anthem PPO Rate"":""576.75"",""CIGNA Rate"":""481.14"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""99211"",""DESC"":""OFF VISIT - ESTAB PT MTM SERVC"",""Revenue Code"":""510"",""Hospital Charge"":""457.21"",""Minimum Rate"":""134.88"",""Maximum Rate"":""134.88"",""Self-Pay Rate"":""134.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""90673"",""DESC"":""VACN FLU VIRUS - FLUBLOK"",""Revenue Code"":""636"",""Hospital Charge"":""322.15"",""Minimum Rate"":"" - "",""Maximum Rate"":""118.95"",""Self-Pay Rate"":""64.75"",""Aetna Rate"":""82.98"",""Anthem HMO Rate"":""118.95"",""Anthem PPO Rate"":""118.95"",""CIGNA Rate"":""80.88"",""ConnectiCare Commercial Rate"":""72.41"",""ConnectiCare Exchange Rate"":""70.68"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90472"",""DESC"":""VACCINE ADMIN EACH ADD VACC"",""Revenue Code"":""771"",""Hospital Charge"":""125.86"",""Minimum Rate"":""37.13"",""Maximum Rate"":""107.19"",""Self-Pay Rate"":""37.13"",""Aetna Rate"":""86.10"",""Anthem HMO Rate"":""85.27"",""Anthem PPO Rate"":""85.27"",""CIGNA Rate"":""84.24"",""ConnectiCare Commercial Rate"":""107.19"",""ConnectiCare Exchange Rate"":""101.17"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""90632"",""DESC"":""VACN HEPATITIS A 50U-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""432.04"",""Minimum Rate"":"" - "",""Maximum Rate"":""157.42"",""Self-Pay Rate"":""86.84"",""Aetna Rate"":""133.44"",""Anthem HMO Rate"":""154.42"",""Anthem PPO Rate"":""154.42"",""CIGNA Rate"":""157.42"",""ConnectiCare Commercial Rate"":""109.17"",""ConnectiCare Exchange Rate"":""106.57"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90746"",""DESC"":""VACN HEPAT B 10MCG-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""306.14"",""Minimum Rate"":""61.53"",""Maximum Rate"":""264.67"",""Self-Pay Rate"":""61.53"",""Aetna Rate"":""159.04"",""Anthem HMO Rate"":""180.05"",""Anthem PPO Rate"":""180.05"",""CIGNA Rate"":""138.51"",""ConnectiCare Commercial Rate"":""124.19"",""ConnectiCare Exchange Rate"":""121.23"",""UnitedHealthcare\/Oxford Rate"":""264.67""},{""CPT-4"":""90686"",""DESC"":""VACN FLU VIRUS-FLUZONE ADLT PF"",""Revenue Code"":""636"",""Hospital Charge"":""135.3"",""Minimum Rate"":""27.20"",""Maximum Rate"":""72.31"",""Self-Pay Rate"":""27.20"",""Aetna Rate"":""44.71"",""Anthem HMO Rate"":""55.74"",""Anthem PPO Rate"":""55.74"",""CIGNA Rate"":""39.15"",""ConnectiCare Commercial Rate"":""33.93"",""ConnectiCare Exchange Rate"":""33.12"",""UnitedHealthcare\/Oxford Rate"":""72.31""},{""CPT-4"":""90732"",""DESC"":""VACN PNEUMOCOCC 25MCG-0.5ML"",""Revenue Code"":""636"",""Hospital Charge"":""637.13"",""Minimum Rate"":""128.06"",""Maximum Rate"":""455.70"",""Self-Pay Rate"":""128.06"",""Aetna Rate"":""273.83"",""Anthem HMO Rate"":""263.46"",""Anthem PPO Rate"":""263.46"",""CIGNA Rate"":""237.98"",""ConnectiCare Commercial Rate"":""213.82"",""ConnectiCare Exchange Rate"":""208.72"",""UnitedHealthcare\/Oxford Rate"":""455.70""},{""CPT-4"":""90733"",""DESC"":""VACN MENINGOCCAL 4MG-.5ML VL"",""Revenue Code"":""636"",""Hospital Charge"":""1233.77"",""Minimum Rate"":"" - "",""Maximum Rate"":""360.76"",""Self-Pay Rate"":""247.99"",""Aetna Rate"":""286.57"",""Anthem HMO Rate"":""360.76"",""Anthem PPO Rate"":""360.76"",""CIGNA Rate"":""278.66"",""ConnectiCare Commercial Rate"":""189.87"",""ConnectiCare Exchange Rate"":""185.35"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90662"",""DESC"":""VACN FLU VIRUS-FLUZONE HD ADLT"",""Revenue Code"":""636"",""Hospital Charge"":""128.57"",""Minimum Rate"":""25.84"",""Maximum Rate"":""212.84"",""Self-Pay Rate"":""25.84"",""Aetna Rate"":""139.24"",""Anthem HMO Rate"":""125.13"",""Anthem PPO Rate"":""125.13"",""CIGNA Rate"":""121.30"",""ConnectiCare Commercial Rate"":""99.87"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""212.84""},{""CPT-4"":""90670"",""DESC"":""VACN PNEUMOCC 13VAL CONJ 0.5ML"",""Revenue Code"":""636"",""Hospital Charge"":""1296.04"",""Minimum Rate"":""260.50"",""Maximum Rate"":""874.53"",""Self-Pay Rate"":""260.50"",""Aetna Rate"":""525.50"",""Anthem HMO Rate"":""530.32"",""Anthem PPO Rate"":""530.32"",""CIGNA Rate"":""455.31"",""ConnectiCare Commercial Rate"":""410.34"",""ConnectiCare Exchange Rate"":""400.57"",""UnitedHealthcare\/Oxford Rate"":""874.53""},{""CPT-4"":""90715"",""DESC"":""VACN ADACEL(Tdap) 0.5ML 7Y&>"",""Revenue Code"":""636"",""Hospital Charge"":""255.54"",""Minimum Rate"":"" - "",""Maximum Rate"":""87.84"",""Self-Pay Rate"":""51.36"",""Aetna Rate"":""78.27"",""Anthem HMO Rate"":""87.84"",""Anthem PPO Rate"":""87.84"",""CIGNA Rate"":""84.96"",""ConnectiCare Commercial Rate"":""59.63"",""ConnectiCare Exchange Rate"":""58.21"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE GENERAL"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""P9604"",""DESC"":""HOME SPECIMEN COLLECTION"",""Revenue Code"":""300"",""Hospital Charge"":""129.14"",""Minimum Rate"":""3.49"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""3.49"",""Anthem PPO Rate"":""3.49"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""13.80"",""ConnectiCare Exchange Rate"":""4.40"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""I UNIT-ADC, ALZ RESPITE CARE"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""I UNIT-ADC, ARC OF GREENWICH"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""I UNIT-ADC, ARI OF CONN"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, COMMUN BASED SERV"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, S W C A A"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SELF PAY $ 45.00"",""Revenue Code"":""990"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SELF PAY $ 45.00"",""Revenue Code"":""990"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SELF PAY $ 45.00"",""Revenue Code"":""990"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SELF PAY $ 50.00"",""Revenue Code"":""990"",""Hospital Charge"":""50"",""Minimum Rate"":""14.75"",""Maximum Rate"":""14.75"",""Self-Pay Rate"":""14.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SELF PAY $ 70.00"",""Revenue Code"":""990"",""Hospital Charge"":""70"",""Minimum Rate"":""20.65"",""Maximum Rate"":""20.65"",""Self-Pay Rate"":""20.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SENIOR SERV $10.00"",""Revenue Code"":""990"",""Hospital Charge"":""10"",""Minimum Rate"":""2.95"",""Maximum Rate"":""2.95"",""Self-Pay Rate"":""2.95"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SENIOR SERV $25.00"",""Revenue Code"":""990"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SENIOR SERV $54.93"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, TRAVELERS"",""Revenue Code"":""990"",""Hospital Charge"":""65"",""Minimum Rate"":""19.18"",""Maximum Rate"":""19.18"",""Self-Pay Rate"":""19.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, SHOWER"",""Revenue Code"":""990"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""1 UNIT-ADC, PROTECTIVE SERVICE"",""Revenue Code"":""990"",""Hospital Charge"":""57.13"",""Minimum Rate"":""16.85"",""Maximum Rate"":""16.85"",""Self-Pay Rate"":""16.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANES SUP-GASES 31 MIN & UP-MIN"",""Revenue Code"":""370"",""Hospital Charge"":""39.62"",""Minimum Rate"":""15.45"",""Maximum Rate"":""15.45"",""Self-Pay Rate"":""15.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANES SUP-GASES 1ST 30 MIN - FR"",""Revenue Code"":""370"",""Hospital Charge"":""1248.33"",""Minimum Rate"":""486.85"",""Maximum Rate"":""486.85"",""Self-Pay Rate"":""486.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""EPIDURAL"",""Revenue Code"":""370"",""Hospital Charge"":""1323.78"",""Minimum Rate"":""516.27"",""Maximum Rate"":""516.27"",""Self-Pay Rate"":""516.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SPINAL ANESTHESIA"",""Revenue Code"":""370"",""Hospital Charge"":""1279.02"",""Minimum Rate"":""498.82"",""Maximum Rate"":""1,089.34"",""Self-Pay Rate"":""498.82"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,089.34"",""ConnectiCare Exchange Rate"":""1,028.08"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANES SUP-GASES 31 MIN & UP-MIN"",""Revenue Code"":""370"",""Hospital Charge"":""39.62"",""Minimum Rate"":""15.45"",""Maximum Rate"":""15.45"",""Self-Pay Rate"":""15.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANES SUP-GASES 1ST 30 MIN - FR"",""Revenue Code"":""370"",""Hospital Charge"":""1248.33"",""Minimum Rate"":""486.85"",""Maximum Rate"":""486.85"",""Self-Pay Rate"":""486.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""82803"",""DESC"":""ABG"",""Revenue Code"":""301"",""Hospital Charge"":""243.2"",""Minimum Rate"":""24.55"",""Maximum Rate"":""119.92"",""Self-Pay Rate"":""42.80"",""Aetna Rate"":""57.48"",""Anthem HMO Rate"":""24.55"",""Anthem PPO Rate"":""24.55"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":""119.92"",""ConnectiCare Exchange Rate"":""28.68"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82805"",""DESC"":""ABG-CO-OX"",""Revenue Code"":""301"",""Hospital Charge"":""416.9"",""Minimum Rate"":""36.01"",""Maximum Rate"":""181.18"",""Self-Pay Rate"":""73.37"",""Aetna Rate"":""84.28"",""Anthem HMO Rate"":""36.01"",""Anthem PPO Rate"":""36.01"",""CIGNA Rate"":""85.17"",""ConnectiCare Commercial Rate"":""181.18"",""ConnectiCare Exchange Rate"":""86.65"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82800"",""DESC"":""CORD PH"",""Revenue Code"":""301"",""Hospital Charge"":""116.8"",""Minimum Rate"":""10.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.56"",""Aetna Rate"":""25.15"",""Anthem HMO Rate"":""10.73"",""Anthem PPO Rate"":""10.73"",""CIGNA Rate"":""25.28"",""ConnectiCare Commercial Rate"":""12.65"",""ConnectiCare Exchange Rate"":""12.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82803"",""DESC"":""VCOOX (VENOUS CO-OXIMETRY)"",""Revenue Code"":""301"",""Hospital Charge"":""243.2"",""Minimum Rate"":""24.55"",""Maximum Rate"":""119.92"",""Self-Pay Rate"":""42.80"",""Aetna Rate"":""57.48"",""Anthem HMO Rate"":""24.55"",""Anthem PPO Rate"":""24.55"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":""119.92"",""ConnectiCare Exchange Rate"":""28.68"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82803"",""DESC"":""VBG"",""Revenue Code"":""301"",""Hospital Charge"":""243.2"",""Minimum Rate"":""24.55"",""Maximum Rate"":""119.92"",""Self-Pay Rate"":""42.80"",""Aetna Rate"":""57.48"",""Anthem HMO Rate"":""24.55"",""Anthem PPO Rate"":""24.55"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":""119.92"",""ConnectiCare Exchange Rate"":""28.68"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83986"",""DESC"":""PH FLUID - PLEURAL"",""Revenue Code"":""301"",""Hospital Charge"":""78.75"",""Minimum Rate"":""4.54"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""13.86"",""Aetna Rate"":""10.63"",""Anthem HMO Rate"":""4.54"",""Anthem PPO Rate"":""4.54"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.16"",""ConnectiCare Exchange Rate"":""4.86"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82805"",""DESC"":""VBG-CO-OX"",""Revenue Code"":""301"",""Hospital Charge"":""416.9"",""Minimum Rate"":""36.01"",""Maximum Rate"":""181.18"",""Self-Pay Rate"":""73.37"",""Aetna Rate"":""84.28"",""Anthem HMO Rate"":""36.01"",""Anthem PPO Rate"":""36.01"",""CIGNA Rate"":""85.17"",""ConnectiCare Commercial Rate"":""181.18"",""ConnectiCare Exchange Rate"":""86.65"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82810"",""DESC"":""CO-OXIMETRY"",""Revenue Code"":""301"",""Hospital Charge"":""220.5"",""Minimum Rate"":""11.08"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""38.81"",""Aetna Rate"":""25.93"",""Anthem HMO Rate"":""11.08"",""Anthem PPO Rate"":""11.08"",""CIGNA Rate"":""25.98"",""ConnectiCare Commercial Rate"":""12.39"",""ConnectiCare Exchange Rate"":""11.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""ABG PANEL CVOR - CCU"",""Revenue Code"":""301"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""ABG PANEL CARDIAC CCU - FLOOR"",""Revenue Code"":""301"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""ABG PANEL CARDIAC FLOOR"",""Revenue Code"":""301"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83605"",""DESC"":""LACTATE, VENOUS BLOOD GAS"",""Revenue Code"":""301"",""Hospital Charge"":""270.01"",""Minimum Rate"":""13.55"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""47.52"",""Aetna Rate"":""31.72"",""Anthem HMO Rate"":""13.55"",""Anthem PPO Rate"":""13.55"",""CIGNA Rate"":""31.77"",""ConnectiCare Commercial Rate"":""45.51"",""ConnectiCare Exchange Rate"":""14.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""88240"",""DESC"":""CELL CRYOPRESERV & STORAGE-1"",""Revenue Code"":""310"",""Hospital Charge"":""142.86"",""Minimum Rate"":""12.81"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.14"",""Aetna Rate"":""29.99"",""Anthem HMO Rate"":""12.81"",""Anthem PPO Rate"":""12.81"",""CIGNA Rate"":""30.32"",""ConnectiCare Commercial Rate"":""30.06"",""ConnectiCare Exchange Rate"":""14.38"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""88241"",""DESC"":""STEM CELL - THAWING PER BAG"",""Revenue Code"":""310"",""Hospital Charge"":""386.53"",""Minimum Rate"":""12.81"",""Maximum Rate"":""68.03"",""Self-Pay Rate"":""68.03"",""Aetna Rate"":""29.99"",""Anthem HMO Rate"":""12.81"",""Anthem PPO Rate"":""12.81"",""CIGNA Rate"":""30.32"",""ConnectiCare Commercial Rate"":""14.34"",""ConnectiCare Exchange Rate"":""13.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86850"",""DESC"":""ANTIBODY SCREEN-INDIRECT COOMB"",""Revenue Code"":""300"",""Hospital Charge"":""56"",""Minimum Rate"":""9.86"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""9.86"",""Aetna Rate"":""33.59"",""Anthem HMO Rate"":""15.70"",""Anthem PPO Rate"":""15.70"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""33.72"",""ConnectiCare Exchange Rate"":""10.75"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86900"",""DESC"":""ABO BLOOD TYPING STUDIES"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86880"",""DESC"":""DIRECT ANTIGLOBULIN TEST (COOM"",""Revenue Code"":""300"",""Hospital Charge"":""129.45"",""Minimum Rate"":""6.82"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.78"",""Aetna Rate"":""15.94"",""Anthem HMO Rate"":""6.82"",""Anthem PPO Rate"":""6.82"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""15.30"",""ConnectiCare Exchange Rate"":""7.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86901"",""DESC"":""RH GROUPING - TYPING"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86922"",""DESC"":""CROSSMATCH- AHG"",""Revenue Code"":""300"",""Hospital Charge"":""350.81"",""Minimum Rate"":""23.87"",""Maximum Rate"":""210.42"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""210.42"",""Anthem HMO Rate"":""23.87"",""Anthem PPO Rate"":""23.87"",""CIGNA Rate"":""53.44"",""ConnectiCare Commercial Rate"":""101.26"",""ConnectiCare Exchange Rate"":""48.44"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86850"",""DESC"":""ANTIBODY SCREEN RBC"",""Revenue Code"":""300"",""Hospital Charge"":""56"",""Minimum Rate"":""9.86"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""9.86"",""Aetna Rate"":""33.59"",""Anthem HMO Rate"":""15.70"",""Anthem PPO Rate"":""15.70"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""33.72"",""ConnectiCare Exchange Rate"":""10.75"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""J7189"",""DESC"":""FACTOR VIIA RECOMBINANT - 1.2"",""Revenue Code"":""636"",""Hospital Charge"":""3460.66"",""Minimum Rate"":""3.91"",""Maximum Rate"":""695.59"",""Self-Pay Rate"":""695.59"",""Aetna Rate"":""5.34"",""Anthem HMO Rate"":""5.62"",""Anthem PPO Rate"":""5.62"",""CIGNA Rate"":""4.55"",""ConnectiCare Commercial Rate"":""4.01"",""ConnectiCare Exchange Rate"":""3.91"",""UnitedHealthcare\/Oxford Rate"":""8.25""},{""CPT-4"":""J7189"",""DESC"":""FACTOR VIIA RECOMBINANT - 2.4"",""Revenue Code"":""636"",""Hospital Charge"":""6921.33"",""Minimum Rate"":""3.91"",""Maximum Rate"":""1,391.19"",""Self-Pay Rate"":""1,391.19"",""Aetna Rate"":""5.34"",""Anthem HMO Rate"":""5.62"",""Anthem PPO Rate"":""5.62"",""CIGNA Rate"":""4.55"",""ConnectiCare Commercial Rate"":""4.01"",""ConnectiCare Exchange Rate"":""3.91"",""UnitedHealthcare\/Oxford Rate"":""8.25""},{""CPT-4"":""J7189"",""DESC"":""FACTOR VIIA RECOMBINANT - 4.8"",""Revenue Code"":""636"",""Hospital Charge"":""17303.3"",""Minimum Rate"":""3.91"",""Maximum Rate"":""3,477.96"",""Self-Pay Rate"":""3,477.96"",""Aetna Rate"":""5.34"",""Anthem HMO Rate"":""5.62"",""Anthem PPO Rate"":""5.62"",""CIGNA Rate"":""4.55"",""ConnectiCare Commercial Rate"":""4.01"",""ConnectiCare Exchange Rate"":""3.91"",""UnitedHealthcare\/Oxford Rate"":""8.25""},{""CPT-4"":""P9021"",""DESC"":""RED BLOOD CELLS"",""Revenue Code"":""381"",""Hospital Charge"":""799.55"",""Minimum Rate"":""235.87"",""Maximum Rate"":""680.98"",""Self-Pay Rate"":""235.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""680.98"",""ConnectiCare Exchange Rate"":""642.68"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9016"",""DESC"":""LEUKOREDUCED RBCS"",""Revenue Code"":""390"",""Hospital Charge"":""799.55"",""Minimum Rate"":""235.87"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""235.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9035"",""DESC"":""PLATELETS, APH-PHER,L-R"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9019"",""DESC"":""PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""166.28"",""Minimum Rate"":""49.05"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""49.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9017"",""DESC"":""FRESH FROZEN PLASMA"",""Revenue Code"":""390"",""Hospital Charge"":""213.35"",""Minimum Rate"":""62.94"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""62.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9023"",""DESC"":""SOLVENT DETERGENT PLASMA"",""Revenue Code"":""383"",""Hospital Charge"":""231.36"",""Minimum Rate"":""1.99"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""68.25"",""Aetna Rate"":""1.99"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""197.05"",""ConnectiCare Exchange Rate"":""185.97"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9012"",""DESC"":""CRYOPRECIPITATE"",""Revenue Code"":""390"",""Hospital Charge"":""180.06"",""Minimum Rate"":""53.12"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""53.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""J2790"",""DESC"":""RHO D IMMUNE GLOBULIN 1500IU"",""Revenue Code"":""636"",""Hospital Charge"":""243.81"",""Minimum Rate"":"" - "",""Maximum Rate"":""234.88"",""Self-Pay Rate"":""49.01"",""Aetna Rate"":""176.44"",""Ant" "em HMO Rate"":""234.88"",""Anthem PPO Rate"":""234.88"",""CIGNA Rate"":""150.11"",""ConnectiCare Commercial Rate"":""151.39"",""ConnectiCare Exchange Rate"":""147.78"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""J7190"",""DESC"":""FACTOR VIII(HUMAN) - IU"",""Revenue Code"":""636"",""Hospital Charge"":""2.05"",""Minimum Rate"":""0.41"",""Maximum Rate"":""3.99"",""Self-Pay Rate"":""0.41"",""Aetna Rate"":""2.42"",""Anthem HMO Rate"":""2.99"",""Anthem PPO Rate"":""2.99"",""CIGNA Rate"":""2.06"",""ConnectiCare Commercial Rate"":""2.14"",""ConnectiCare Exchange Rate"":""2.08"",""UnitedHealthcare\/Oxford Rate"":""3.99""},{""CPT-4"":""J7192"",""DESC"":""FACTOR VIII(RECOMBINANT) - IU"",""Revenue Code"":""636"",""Hospital Charge"":""3.22"",""Minimum Rate"":""0.65"",""Maximum Rate"":""4.83"",""Self-Pay Rate"":""0.65"",""Aetna Rate"":""3.27"",""Anthem HMO Rate"":""3.51"",""Anthem PPO Rate"":""3.51"",""CIGNA Rate"":""2.79"",""ConnectiCare Commercial Rate"":""2.46"",""ConnectiCare Exchange Rate"":""2.40"",""UnitedHealthcare\/Oxford Rate"":""4.83""},{""CPT-4"":""J7193"",""DESC"":""FACTOR IX (HUMAN) - IU PURIFD"",""Revenue Code"":""636"",""Hospital Charge"":""2.18"",""Minimum Rate"":""0.44"",""Maximum Rate"":""4.41"",""Self-Pay Rate"":""0.44"",""Aetna Rate"":""2.76"",""Anthem HMO Rate"":""3.28"",""Anthem PPO Rate"":""3.28"",""CIGNA Rate"":""2.36"",""ConnectiCare Commercial Rate"":""2.08"",""ConnectiCare Exchange Rate"":""2.03"",""UnitedHealthcare\/Oxford Rate"":""4.41""},{""CPT-4"":""J7195"",""DESC"":""FACTOR IX (RECOMBINANT) - IU"",""Revenue Code"":""636"",""Hospital Charge"":""2.74"",""Minimum Rate"":""0.55"",""Maximum Rate"":""5.78"",""Self-Pay Rate"":""0.55"",""Aetna Rate"":""3.65"",""Anthem HMO Rate"":""4.45"",""Anthem PPO Rate"":""4.45"",""CIGNA Rate"":""3.11"",""ConnectiCare Commercial Rate"":""2.74"",""ConnectiCare Exchange Rate"":""2.68"",""UnitedHealthcare\/Oxford Rate"":""5.78""},{""CPT-4"":""P9054"",""DESC"":""FROZEN DEGLYCEROLYZED RBC"",""Revenue Code"":""381"",""Hospital Charge"":""2731.37"",""Minimum Rate"":""487.00"",""Maximum Rate"":""2,326.31"",""Self-Pay Rate"":""805.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,326.31"",""ConnectiCare Exchange Rate"":""2,195.48"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9039"",""DESC"":""AUTOLOGOUS DEGLYCEROLYZED RBC"",""Revenue Code"":""381"",""Hospital Charge"":""3016.48"",""Minimum Rate"":""487.00"",""Maximum Rate"":""2,569.14"",""Self-Pay Rate"":""889.86"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,569.14"",""ConnectiCare Exchange Rate"":""2,424.65"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""86816"",""DESC"":""HLA DR TYPING"",""Revenue Code"":""300"",""Hospital Charge"":""670.69"",""Minimum Rate"":""35.35"",""Maximum Rate"":""118.04"",""Self-Pay Rate"":""118.04"",""Aetna Rate"":""82.73"",""Anthem HMO Rate"":""35.35"",""Anthem PPO Rate"":""35.35"",""CIGNA Rate"":""83.74"",""ConnectiCare Commercial Rate"":""79.10"",""ConnectiCare Exchange Rate"":""37.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""P9010"",""DESC"":""AUTOLOGOUS WHOLE BLOOD"",""Revenue Code"":""390"",""Hospital Charge"":""1096.66"",""Minimum Rate"":""56.36"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""323.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""58.93"",""ConnectiCare Exchange Rate"":""56.36"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""86902"",""DESC"":""ANTIGEN TYPING, RBC"",""Revenue Code"":""300"",""Hospital Charge"":""227.21"",""Minimum Rate"":""4.85"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""39.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""4.85"",""Anthem PPO Rate"":""4.85"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""7.30"",""ConnectiCare Exchange Rate"":""6.99"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86905"",""DESC"":""ANTIGEN TYPING, PATIENT"",""Revenue Code"":""300"",""Hospital Charge"":""92.17"",""Minimum Rate"":""4.85"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.22"",""Aetna Rate"":""11.35"",""Anthem HMO Rate"":""4.85"",""Anthem PPO Rate"":""4.85"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""16.32"",""ConnectiCare Exchange Rate"":""5.20"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86978"",""DESC"":""ANTIBODY ABSORPTION"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""22.30"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""22.30"",""Anthem PPO Rate"":""22.30"",""CIGNA Rate"":""49.79"",""ConnectiCare Commercial Rate"":""94.82"",""ConnectiCare Exchange Rate"":""45.35"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86886"",""DESC"":""ANTIBODY TITER"",""Revenue Code"":""300"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""7.35"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86920"",""DESC"":""CROSSMATCH - IS"",""Revenue Code"":""300"",""Hospital Charge"":""350.81"",""Minimum Rate"":""22.30"",""Maximum Rate"":""210.42"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""210.42"",""Anthem HMO Rate"":""22.30"",""Anthem PPO Rate"":""22.30"",""CIGNA Rate"":""49.79"",""ConnectiCare Commercial Rate"":""94.82"",""ConnectiCare Exchange Rate"":""45.35"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""85461"",""DESC"":""FETAL SCREEN"",""Revenue Code"":""305"",""Hospital Charge"":""159.62"",""Minimum Rate"":""8.42"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""28.09"",""Aetna Rate"":""19.68"",""Anthem HMO Rate"":""8.42"",""Anthem PPO Rate"":""8.42"",""CIGNA Rate"":""20.19"",""ConnectiCare Commercial Rate"":""10.76"",""ConnectiCare Exchange Rate"":""10.30"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86860"",""DESC"":""ELUTION"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""20.09"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""20.09"",""Anthem PPO Rate"":""20.09"",""CIGNA Rate"":""44.75"",""ConnectiCare Commercial Rate"":""85.62"",""ConnectiCare Exchange Rate"":""40.95"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86870"",""DESC"":""ANTIBODY IDENTIFICATION"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""27.63"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""27.63"",""Anthem PPO Rate"":""27.63"",""CIGNA Rate"":""61.34"",""ConnectiCare Commercial Rate"":""116.94"",""ConnectiCare Exchange Rate"":""55.92"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86890"",""DESC"":""DIRECT BLOOD DONATION"",""Revenue Code"":""300"",""Hospital Charge"":""847.51"",""Minimum Rate"":""63.44"",""Maximum Rate"":""149.16"",""Self-Pay Rate"":""149.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""63.44"",""Anthem PPO Rate"":""63.44"",""CIGNA Rate"":""141.48"",""ConnectiCare Commercial Rate"":""134.42"",""ConnectiCare Exchange Rate"":""128.58"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86078"",""DESC"":""TRANSFUSION REACTION WORKUP"",""Revenue Code"":""300"",""Hospital Charge"":""218.99"",""Minimum Rate"":""38.54"",""Maximum Rate"":""130.70"",""Self-Pay Rate"":""38.54"",""Aetna Rate"":""105.43"",""Anthem HMO Rate"":""52.73"",""Anthem PPO Rate"":""52.73"",""CIGNA Rate"":""96.92"",""ConnectiCare Commercial Rate"":""130.70"",""ConnectiCare Exchange Rate"":""62.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""99195"",""DESC"":""THERAPEUTIC PHLEBOTOMY"",""Revenue Code"":""300"",""Hospital Charge"":""646.72"",""Minimum Rate"":""68.00"",""Maximum Rate"":""185.68"",""Self-Pay Rate"":""113.82"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""185.68"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""P9031"",""DESC"":""LEUKOREDUCED PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""292.57"",""Minimum Rate"":""86.31"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""86.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""86812"",""DESC"":""HLA ABC TYPING (ABC)"",""Revenue Code"":""300"",""Hospital Charge"":""621.3"",""Minimum Rate"":""32.75"",""Maximum Rate"":""109.92"",""Self-Pay Rate"":""109.35"",""Aetna Rate"":""76.65"",""Anthem HMO Rate"":""32.75"",""Anthem PPO Rate"":""32.75"",""CIGNA Rate"":""77.23"",""ConnectiCare Commercial Rate"":""109.92"",""ConnectiCare Exchange Rate"":""35.05"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86022"",""DESC"":""PLATE SCREEN ALLOIMMUNIZATION"",""Revenue Code"":""300"",""Hospital Charge"":""442.22"",""Minimum Rate"":""23.31"",""Maximum Rate"":""130.40"",""Self-Pay Rate"":""77.83"",""Aetna Rate"":""54.55"",""Anthem HMO Rate"":""23.31"",""Anthem PPO Rate"":""23.31"",""CIGNA Rate"":""54.85"",""ConnectiCare Commercial Rate"":""130.40"",""ConnectiCare Exchange Rate"":""24.95"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86900"",""DESC"":""ARC - ABO GROUPING"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86901"",""DESC"":""ARC - RH TYPING"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""P9037"",""DESC"":""XMATCHED SINGLE DONOR PLATELET"",""Revenue Code"":""390"",""Hospital Charge"":""3632.78"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,071.67"",""Self-Pay Rate"":""1,071.67"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""86945"",""DESC"":""BLOOD IRRADIATION"",""Revenue Code"":""300"",""Hospital Charge"":""219.37"",""Minimum Rate"":""18.84"",""Maximum Rate"":""131.58"",""Self-Pay Rate"":""38.61"",""Aetna Rate"":""131.58"",""Anthem HMO Rate"":""18.84"",""Anthem PPO Rate"":""18.84"",""CIGNA Rate"":""41.87"",""ConnectiCare Commercial Rate"":""39.59"",""ConnectiCare Exchange Rate"":""37.87"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86965"",""DESC"":""POOLING COMPONENTS"",""Revenue Code"":""300"",""Hospital Charge"":""350.81"",""Minimum Rate"":""21.04"",""Maximum Rate"":""210.42"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""210.42"",""Anthem HMO Rate"":""21.04"",""Anthem PPO Rate"":""21.04"",""CIGNA Rate"":""46.19"",""ConnectiCare Commercial Rate"":""44.19"",""ConnectiCare Exchange Rate"":""42.27"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86985"",""DESC"":""SPLITTING RBCS"",""Revenue Code"":""300"",""Hospital Charge"":""219.37"",""Minimum Rate"":""16.33"",""Maximum Rate"":""131.58"",""Self-Pay Rate"":""38.61"",""Aetna Rate"":""131.58"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""36.82"",""ConnectiCare Commercial Rate"":""34.52"",""ConnectiCare Exchange Rate"":""33.02"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86927"",""DESC"":""THAWING COMPONENTS"",""Revenue Code"":""300"",""Hospital Charge"":""219.37"",""Minimum Rate"":""25.54"",""Maximum Rate"":""131.58"",""Self-Pay Rate"":""38.61"",""Aetna Rate"":""131.58"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""26.70"",""ConnectiCare Exchange Rate"":""25.54"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86900"",""DESC"":""ABO GROUPING"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86901"",""DESC"":""RH TYPE"",""Revenue Code"":""300"",""Hospital Charge"":""50"",""Minimum Rate"":""3.78"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""8.80"",""Aetna Rate"":""8.86"",""Anthem HMO Rate"":""3.78"",""Anthem PPO Rate"":""3.78"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""12.72"",""ConnectiCare Exchange Rate"":""4.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86860"",""DESC"":""ARC - ELUTION STUDIES"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""20.09"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""20.09"",""Anthem PPO Rate"":""20.09"",""CIGNA Rate"":""44.75"",""ConnectiCare Commercial Rate"":""85.62"",""ConnectiCare Exchange Rate"":""40.95"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86906"",""DESC"":""ARC - PHENOTYPE"",""Revenue Code"":""300"",""Hospital Charge"":""186.57"",""Minimum Rate"":""9.84"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""32.84"",""Aetna Rate"":""23.02"",""Anthem HMO Rate"":""9.84"",""Anthem PPO Rate"":""9.84"",""CIGNA Rate"":""23.09"",""ConnectiCare Commercial Rate"":""11.01"",""ConnectiCare Exchange Rate"":""10.53"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86880"",""DESC"":""ARC - DAT"",""Revenue Code"":""300"",""Hospital Charge"":""129.45"",""Minimum Rate"":""6.82"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.78"",""Aetna Rate"":""15.94"",""Anthem HMO Rate"":""6.82"",""Anthem PPO Rate"":""6.82"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""15.30"",""ConnectiCare Exchange Rate"":""7.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86904"",""DESC"":""ARC - ANTIGEN TYPE"",""Revenue Code"":""300"",""Hospital Charge"":""228.97"",""Minimum Rate"":""12.06"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""40.30"",""Aetna Rate"":""28.23"",""Anthem HMO Rate"":""12.06"",""Anthem PPO Rate"":""12.06"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""18.79"",""ConnectiCare Exchange Rate"":""17.97"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86644"",""DESC"":""CMV TESTING, ANTIBODY"",""Revenue Code"":""300"",""Hospital Charge"":""346.57"",""Minimum Rate"":""18.27"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""61.00"",""Aetna Rate"":""42.75"",""Anthem HMO Rate"":""18.27"",""Anthem PPO Rate"":""18.27"",""CIGNA Rate"":""43.31"",""ConnectiCare Commercial Rate"":""61.32"",""ConnectiCare Exchange Rate"":""19.55"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86850"",""DESC"":""ARC - ANTIBODY SCREENING"",""Revenue Code"":""300"",""Hospital Charge"":""56"",""Minimum Rate"":""9.86"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""9.86"",""Aetna Rate"":""33.59"",""Anthem HMO Rate"":""15.70"",""Anthem PPO Rate"":""15.70"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""33.72"",""ConnectiCare Exchange Rate"":""10.75"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86078"",""DESC"":""ARC - TRANS RXN EVAL."",""Revenue Code"":""300"",""Hospital Charge"":""218.99"",""Minimum Rate"":""38.54"",""Maximum Rate"":""130.70"",""Self-Pay Rate"":""38.54"",""Aetna Rate"":""105.43"",""Anthem HMO Rate"":""52.73"",""Anthem PPO Rate"":""52.73"",""CIGNA Rate"":""96.92"",""ConnectiCare Commercial Rate"":""130.70"",""ConnectiCare Exchange Rate"":""62.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86870"",""DESC"":""ARC - ANTIBODY IDENTIFICATION"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""27.63"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""27.63"",""Anthem PPO Rate"":""27.63"",""CIGNA Rate"":""61.34"",""ConnectiCare Commercial Rate"":""116.94"",""ConnectiCare Exchange Rate"":""55.92"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86978"",""DESC"":""ARC - ABSORPTION"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""22.30"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""22.30"",""Anthem PPO Rate"":""22.30"",""CIGNA Rate"":""49.79"",""ConnectiCare Commercial Rate"":""94.82"",""ConnectiCare Exchange Rate"":""45.35"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86972"",""DESC"":""ARC - RETICULOCYTE SEP"",""Revenue Code"":""300"",""Hospital Charge"":""353.3"",""Minimum Rate"":""26.07"",""Maximum Rate"":""211.91"",""Self-Pay Rate"":""62.18"",""Aetna Rate"":""211.91"",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""58.44"",""ConnectiCare Commercial Rate"":""55.25"",""ConnectiCare Exchange Rate"":""52.84"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86920"",""DESC"":""ARC - IS CROSSMATCH"",""Revenue Code"":""300"",""Hospital Charge"":""350.81"",""Minimum Rate"":""22.30"",""Maximum Rate"":""210.42"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""210.42"",""Anthem HMO Rate"":""22.30"",""Anthem PPO Rate"":""22.30"",""CIGNA Rate"":""49.79"",""ConnectiCare Commercial Rate"":""94.82"",""ConnectiCare Exchange Rate"":""45.35"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86922"",""DESC"":""ARC - AHG CROSSMATCH"",""Revenue Code"":""300"",""Hospital Charge"":""350.81"",""Minimum Rate"":""23.87"",""Maximum Rate"":""210.42"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""210.42"",""Anthem HMO Rate"":""23.87"",""Anthem PPO Rate"":""23.87"",""CIGNA Rate"":""53.44"",""ConnectiCare Commercial Rate"":""101.26"",""ConnectiCare Exchange Rate"":""48.44"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""P9058"",""DESC"":""RBC, LEUKO REDUC. CMV, IRRAD"",""Revenue Code"":""381"",""Hospital Charge"":""1635.17"",""Minimum Rate"":""482.38"",""Maximum Rate"":""1,392.67"",""Self-Pay Rate"":""482.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,392.67"",""ConnectiCare Exchange Rate"":""1,314.35"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9051"",""DESC"":""RBC, LEUKOREDUCED, CMV"",""Revenue Code"":""381"",""Hospital Charge"":""1255.23"",""Minimum Rate"":""370.29"",""Maximum Rate"":""1,069.08"",""Self-Pay Rate"":""370.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,069.08"",""ConnectiCare Exchange Rate"":""1,008.95"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9040"",""DESC"":""RBC, LEUKOREDUCED, IRRADIATED"",""Revenue Code"":""390"",""Hospital Charge"":""1540.24"",""Minimum Rate"":""454.37"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""454.37"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9011"",""DESC"":""RBC, SPLIT"",""Revenue Code"":""390"",""Hospital Charge"":""580.12"",""Minimum Rate"":""80.59"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""171.14"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""84.25"",""ConnectiCare Exchange Rate"":""80.59"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9053"",""DESC"":""PLTLTS, SING DON, LEUKRED, C I"",""Revenue Code"":""390"",""Hospital Charge"":""1291.64"",""Minimum Rate"":""381.03"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""381.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9055"",""DESC"":""PLTLTS, SING DON, LUKRED, CMV"",""Revenue Code"":""390"",""Hospital Charge"":""2760.79"",""Minimum Rate"":""487.00"",""Maximum Rate"":""814.43"",""Self-Pay Rate"":""814.43"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""PLTLTS, SING DON. LEUKRED, IRR"",""Revenue Code"":""390"",""Hospital Charge"":""3045.93"",""Minimum Rate"":""487.00"",""Maximum Rate"":""898.55"",""Self-Pay Rate"":""898.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9033"",""DESC"":""PLTLTS, LEUKORED, IRRADIATED"",""Revenue Code"":""390"",""Hospital Charge"":""804.5"",""Minimum Rate"":""237.33"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""237.33"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9044"",""DESC"":""PLASMA, CRYOPRECIP REDUCED"",""Revenue Code"":""390"",""Hospital Charge"":""309.59"",""Minimum Rate"":""91.33"",""Maximum Rate"":""487.00"",""Self-Pay Rate"":""91.33"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""36430"",""DESC"":""TRANSFUSION BLOOD or COMPONENT"",""Revenue Code"":""391"",""Hospital Charge"":""2135.92"",""Minimum Rate"":""44.14"",""Maximum Rate"":""1,447.09"",""Self-Pay Rate"":""630.10"",""Aetna Rate"":""1,281.12"",""Anthem HMO Rate"":""1,447.09"",""Anthem PPO Rate"":""1,447.09"",""CIGNA Rate"":""1,429.57"",""ConnectiCare Commercial Rate"":""138.45"",""ConnectiCare Exchange Rate"":""44.14"",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9052"",""DESC"":""HLA PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""6298.91"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,858.18"",""Self-Pay Rate"":""1,858.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""86970"",""DESC"":""ARC - PRE-RX RBC's"",""Revenue Code"":""302"",""Hospital Charge"":""149.29"",""Minimum Rate"":""18.84"",""Maximum Rate"":""89.54"",""Self-Pay Rate"":""26.28"",""Aetna Rate"":""89.54"",""Anthem HMO Rate"":""18.84"",""Anthem PPO Rate"":""18.84"",""CIGNA Rate"":""41.87"",""ConnectiCare Commercial Rate"":""39.59"",""ConnectiCare Exchange Rate"":""37.87"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86885"",""DESC"":""ARC - ABID-EACH REAGENT CELL"",""Revenue Code"":""302"",""Hospital Charge"":""137.81"",""Minimum Rate"":""7.26"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""24.25"",""Aetna Rate"":""16.98"",""Anthem HMO Rate"":""7.26"",""Anthem PPO Rate"":""7.26"",""CIGNA Rate"":""17.33"",""ConnectiCare Commercial Rate"":""8.13"",""ConnectiCare Exchange Rate"":""7.78"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86971"",""DESC"":""ARC - PRETREATMENT W-ENZYME"",""Revenue Code"":""302"",""Hospital Charge"":""82.94"",""Minimum Rate"":""14.60"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""14.60"",""Aetna Rate"":""49.75"",""Anthem HMO Rate"":""15.07"",""Anthem PPO Rate"":""15.07"",""CIGNA Rate"":""33.22"",""ConnectiCare Commercial Rate"":""31.76"",""ConnectiCare Exchange Rate"":""30.38"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""C9132"",""DESC"":""PROTHROMBIN COMPLEX CONCENT"",""Revenue Code"":""636"",""Hospital Charge"":""13198.32"",""Minimum Rate"":""5.15"",""Maximum Rate"":""2,652.86"",""Self-Pay Rate"":""2,652.86"",""Aetna Rate"":""5.82"",""Anthem HMO Rate"":""6.47"",""Anthem PPO Rate"":""6.47"",""CIGNA Rate"":""5.15"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""7.64""},{""CPT-4"":""86022"",""DESC"":""PLATELET CROSSMATCH"",""Revenue Code"":""302"",""Hospital Charge"":""442.22"",""Minimum Rate"":""23.31"",""Maximum Rate"":""130.40"",""Self-Pay Rate"":""77.83"",""Aetna Rate"":""54.55"",""Anthem HMO Rate"":""23.31"",""Anthem PPO Rate"":""23.31"",""CIGNA Rate"":""54.85"",""ConnectiCare Commercial Rate"":""130.40"",""ConnectiCare Exchange Rate"":""24.95"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81403"",""DESC"":""HEA DNA ANALYSIS"",""Revenue Code"":""310"",""Hospital Charge"":""839.36"",""Minimum Rate"":""68.00"",""Maximum Rate"":""851.92"",""Self-Pay Rate"":""147.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""241.48"",""Anthem PPO Rate"":""241.48"",""CIGNA Rate"":""338.06"",""ConnectiCare Commercial Rate"":""851.92"",""ConnectiCare Exchange Rate"":""203.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81403"",""DESC"":""MOLECULAR GENOTYPING"",""Revenue Code"":""300"",""Hospital Charge"":""839.36"",""Minimum Rate"":""68.00"",""Maximum Rate"":""851.92"",""Self-Pay Rate"":""147.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""241.48"",""Anthem PPO Rate"":""241.48"",""CIGNA Rate"":""338.06"",""ConnectiCare Commercial Rate"":""851.92"",""ConnectiCare Exchange Rate"":""203.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86156"",""DESC"":""COLD AGGLUTININ SCREEN"",""Revenue Code"":""300"",""Hospital Charge"":""161.38"",""Minimum Rate"":""8.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""28.40"",""Aetna Rate"":""19.90"",""Anthem HMO Rate"":""8.50"",""Anthem PPO Rate"":""8.50"",""CIGNA Rate"":""20.19"",""ConnectiCare Commercial Rate"":""19.02"",""ConnectiCare Exchange Rate"":""9.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""P9035"",""DESC"":""PASC APHERESI PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9035"",""DESC"":""PAS APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9035"",""DESC"":""PAS-1 APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9035"",""DESC"":""PAS-2 APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9035"",""DESC"":""PAS-3 APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""2665.89"",""Minimum Rate"":""487.00"",""Maximum Rate"":""786.44"",""Self-Pay Rate"":""786.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""IRR PASC APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""3395.12"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,001.56"",""Self-Pay Rate"":""1,001.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""IRR PAS APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""3395.12"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,001.56"",""Self-Pay Rate"":""1,001.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""IRR PAS-1 APHERESIS PLATELETS"",""Revenue Code"":""390"",""Hospital Charge"":""3395.12"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,001.56"",""Self-Pay Rate"":""1,001.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""IRR PAS-2 apheresis platelets"",""Revenue Code"":""390"",""Hospital Charge"":""3395.12"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,001.56"",""Self-Pay Rate"":""1,001.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9037"",""DESC"":""IRR PAS-3 apheresis platelets"",""Revenue Code"":""390"",""Hospital Charge"":""3395.12"",""Minimum Rate"":""487.00"",""Maximum Rate"":""1,001.56"",""Self-Pay Rate"":""1,001.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9073"",""DESC"":""PHPLT.E8344 Pheresis PLT PR-"",""Revenue Code"":""390"",""Hospital Charge"":""2902.28"",""Minimum Rate"":""487.00"",""Maximum Rate"":""856.17"",""Self-Pay Rate"":""856.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9073"",""DESC"":""PHPLT.E8341 Pheresis PLT PR-1"",""Revenue Code"":""390"",""Hospital Charge"":""2902.28"",""Minimum Rate"":""487.00"",""Maximum Rate"":""856.17"",""Self-Pay Rate"":""856.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9073"",""DESC"":""PHPLT.E8342 Pheresis PLT PR-2"",""Revenue Code"":""390"",""Hospital Charge"":""2902.28"",""Minimum Rate"":""487.00"",""Maximum Rate"":""856.17"",""Self-Pay Rate"":""856.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9073"",""DESC"":""PHPLT.E8343 Pheresis PLT PR-3"",""Revenue Code"":""390"",""Hospital Charge"":""2902.28"",""Minimum Rate"":""487.00"",""Maximum Rate"":""856.17"",""Self-Pay Rate"":""856.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""P9073"",""DESC"":""PHPLT.E8344 Pheresis PLT PR-"",""Revenue Code"":""390"",""Hospital Charge"":""2902.28"",""Minimum Rate"":""487.00"",""Maximum Rate"":""856.17"",""Self-Pay Rate"":""856.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""487.00""},{""CPT-4"":""(blank)"",""DESC"":""ACCESS KIT CRANIAL VENTRICULR"",""Revenue Code"":""272"",""Hospital Charge"":""938.25"",""Minimum Rate"":""276.78"",""Maximum Rate"":""276.78"",""Self-Pay Rate"":""276.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ADMIN SET - LEVEL I FLUID IV"",""Revenue Code"":""272"",""Hospital Charge"":""176.82"",""Minimum Rate"":""52.16"",""Maximum Rate"":""52.16"",""Self-Pay Rate"":""52.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BAG CSF BECKER MED 700ML"",""Revenue Code"":""272"",""Hospital Charge"":""99"",""Minimum Rate"":""29.21"",""Maximum Rate"":""29.21"",""Self-Pay Rate"":""29.21"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COMPRESS BANDAGE D-STAT"",""Revenue Code"":""272"",""Hospital Charge"":""155"",""Minimum Rate"":""45.73"",""Maximum Rate"":""45.73"",""Self-Pay Rate"":""45.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH KIT CV 2-LUM 7FR x 21CM"",""Revenue Code"":""278"",""Hospital Charge"":""73.19"",""Minimum Rate"":""21.59"",""Maximum Rate"":""21.59"",""Self-Pay Rate"":""21.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRAINAGE KIT CSF BECKER EXT"",""Revenue Code"":""272"",""Hospital Charge"":""513"",""Minimum Rate"":""151.34"",""Maximum Rate"":""151.34"",""Self-Pay Rate"":""151.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH COOK CV 6FR x 15CM"",""Revenue Code"":""278"",""Hospital Charge"":""75.98"",""Minimum Rate"":""22.41"",""Maximum Rate"":""22.41"",""Self-Pay Rate"":""22.41"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH IABP FIDELITY 34ML 7.5FR"",""Revenue Code"":""278"",""Hospital Charge"":""2350"",""Minimum Rate"":""693.25"",""Maximum Rate"":""693.25"",""Self-Pay Rate"":""693.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH IABP FIDELITY 40ML 7.5FR"",""Revenue Code"":""278"",""Hospital Charge"":""2075"",""Minimum Rate"":""612.13"",""Maximum Rate"":""612.13"",""Self-Pay Rate"":""612.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH KIT CSF EXT BECKER 35CM"",""Revenue Code"":""272"",""Hospital Cha" "ge"":""405"",""Minimum Rate"":""119.48"",""Maximum Rate"":""119.48"",""Self-Pay Rate"":""119.48"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH RADIAL A-LINE 20GA 2.5IN"",""Revenue Code"":""272"",""Hospital Charge"":""36"",""Minimum Rate"":""10.62"",""Maximum Rate"":""10.62"",""Self-Pay Rate"":""10.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH SWAN GANZ PACING"",""Revenue Code"":""278"",""Hospital Charge"":""424.75"",""Minimum Rate"":""125.30"",""Maximum Rate"":""125.30"",""Self-Pay Rate"":""125.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CHEST TRAY THAL QUICK 16FR"",""Revenue Code"":""272"",""Hospital Charge"":""389.33"",""Minimum Rate"":""114.85"",""Maximum Rate"":""114.85"",""Self-Pay Rate"":""114.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CHEST TRAY THAL QUICK 24FR"",""Revenue Code"":""272"",""Hospital Charge"":""430.5"",""Minimum Rate"":""127.00"",""Maximum Rate"":""127.00"",""Self-Pay Rate"":""127.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CHEST TRAY THAL QUICK 32FR"",""Revenue Code"":""272"",""Hospital Charge"":""360.83"",""Minimum Rate"":""106.44"",""Maximum Rate"":""106.44"",""Self-Pay Rate"":""106.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH THERMODIL 7F (SWAN-GANZ)"",""Revenue Code"":""278"",""Hospital Charge"":""25.6"",""Minimum Rate"":""7.55"",""Maximum Rate"":""7.55"",""Self-Pay Rate"":""7.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLNKT TEMP MGMT MAXITHERM"",""Revenue Code"":""270"",""Hospital Charge"":""752.72"",""Minimum Rate"":""222.05"",""Maximum Rate"":""641.09"",""Self-Pay Rate"":""222.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""641.09"",""ConnectiCare Exchange Rate"":""605.04"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FEMOSTOP GOLD COMPR SYSTM"",""Revenue Code"":""272"",""Hospital Charge"":""262.5"",""Minimum Rate"":""77.44"",""Maximum Rate"":""77.44"",""Self-Pay Rate"":""77.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH FOLEY TEMP SENSING 16FR"",""Revenue Code"":""272"",""Hospital Charge"":""78.92"",""Minimum Rate"":""23.28"",""Maximum Rate"":""23.28"",""Self-Pay Rate"":""23.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE J .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""17"",""Minimum Rate"":""5.02"",""Maximum Rate"":""5.02"",""Self-Pay Rate"":""5.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT NEEDLE MINI-STICK 5FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""145"",""Minimum Rate"":""42.78"",""Maximum Rate"":""42.78"",""Self-Pay Rate"":""42.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PAD GEL SET ARTIC HYPOTHR MED"",""Revenue Code"":""270"",""Hospital Charge"":""2480"",""Minimum Rate"":""731.60"",""Maximum Rate"":""2,112.22"",""Self-Pay Rate"":""731.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,112.22"",""ConnectiCare Exchange Rate"":""1,993.42"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PAD GEL SET ARTIC HYPOTHR LRG"",""Revenue Code"":""270"",""Hospital Charge"":""2340"",""Minimum Rate"":""690.30"",""Maximum Rate"":""1,992.98"",""Self-Pay Rate"":""690.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,992.98"",""ConnectiCare Exchange Rate"":""1,880.89"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TUBE TRACHEOSTOMY INSERTN"",""Revenue Code"":""272"",""Hospital Charge"":""33.1"",""Minimum Rate"":""9.76"",""Maximum Rate"":""9.76"",""Self-Pay Rate"":""9.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""INTRO SET RHINO 24-26FR"",""Revenue Code"":""272"",""Hospital Charge"":""900"",""Minimum Rate"":""265.50"",""Maximum Rate"":""265.50"",""Self-Pay Rate"":""265.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED #6"",""Revenue Code"":""272"",""Hospital Charge"":""127.53"",""Minimum Rate"":""37.62"",""Maximum Rate"":""37.62"",""Self-Pay Rate"":""37.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED #8"",""Revenue Code"":""272"",""Hospital Charge"":""127.53"",""Minimum Rate"":""37.62"",""Maximum Rate"":""37.62"",""Self-Pay Rate"":""37.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SALINE KIT ART RAD 18Gx10.8CM"",""Revenue Code"":""272"",""Hospital Charge"":""87.15"",""Minimum Rate"":""25.71"",""Maximum Rate"":""25.71"",""Self-Pay Rate"":""25.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH KIT ART RAD 20Gx10.8CM"",""Revenue Code"":""272"",""Hospital Charge"":""28.58"",""Minimum Rate"":""8.43"",""Maximum Rate"":""8.43"",""Self-Pay Rate"":""8.43"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH KIT VEN MICRO-SENSOR"",""Revenue Code"":""272"",""Hospital Charge"":""2375"",""Minimum Rate"":""700.63"",""Maximum Rate"":""700.63"",""Self-Pay Rate"":""700.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ADMINS SET IV BLD TRAP RANGER"",""Revenue Code"":""272"",""Hospital Charge"":""26.14"",""Minimum Rate"":""7.71"",""Maximum Rate"":""7.71"",""Self-Pay Rate"":""7.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PRESSURE TUBING KIT TRIFURCATD"",""Revenue Code"":""272"",""Hospital Charge"":""76.98"",""Minimum Rate"":""22.71"",""Maximum Rate"":""22.71"",""Self-Pay Rate"":""22.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SAFETY REG AMPL 24FR"",""Revenue Code"":""272"",""Hospital Charge"":""221.25"",""Minimum Rate"":""65.27"",""Maximum Rate"":""65.27"",""Self-Pay Rate"":""65.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NEDL BIOPSY - CENTESIS 19G 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""39.7"",""Minimum Rate"":""11.71"",""Maximum Rate"":""11.71"",""Self-Pay Rate"":""11.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""SET PNEUMOTHORAX ST 10.2FR"",""Revenue Code"":""278"",""Hospital Charge"":""453.45"",""Minimum Rate"":""133.77"",""Maximum Rate"":""133.77"",""Self-Pay Rate"":""133.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT MICROSENSOR BASIC ICP"",""Revenue Code"":""272"",""Hospital Charge"":""2200"",""Minimum Rate"":""649.00"",""Maximum Rate"":""649.00"",""Self-Pay Rate"":""649.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""INFILTRATION ULT PURE PORTEX"",""Revenue Code"":""272"",""Hospital Charge"":""32.13"",""Minimum Rate"":""9.48"",""Maximum Rate"":""9.48"",""Self-Pay Rate"":""9.48"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRSNG VAC GRAMM SILVER FOAM"",""Revenue Code"":""272"",""Hospital Charge"":""145.75"",""Minimum Rate"":""43.00"",""Maximum Rate"":""43.00"",""Self-Pay Rate"":""43.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLADE LARYNGO VIDEO SMALL"",""Revenue Code"":""272"",""Hospital Charge"":""32.48"",""Minimum Rate"":""9.58"",""Maximum Rate"":""9.58"",""Self-Pay Rate"":""9.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLADE LARYNGO VIDEO LARGE"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SMART CAPNOLINE ADULT PLUS"",""Revenue Code"":""271"",""Hospital Charge"":""33.17"",""Minimum Rate"":""9.79"",""Maximum Rate"":""28.25"",""Self-Pay Rate"":""9.79"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""28.25"",""ConnectiCare Exchange Rate"":""26.66"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FILTERLINE H SET ADULT-PEDI"",""Revenue Code"":""272"",""Hospital Charge"":""33.61"",""Minimum Rate"":""9.91"",""Maximum Rate"":""9.91"",""Self-Pay Rate"":""9.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PAD UNIVERSAL TEMP MGMT"",""Revenue Code"":""270"",""Hospital Charge"":""772.5"",""Minimum Rate"":""227.89"",""Maximum Rate"":""657.94"",""Self-Pay Rate"":""227.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""657.94"",""ConnectiCare Exchange Rate"":""620.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""A4606"",""DESC"":""OXIMETER SENSOR NASAL ADULT"",""Revenue Code"":""270"",""Hospital Charge"":""29.69"",""Minimum Rate"":""8.76"",""Maximum Rate"":""25.29"",""Self-Pay Rate"":""8.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""25.29"",""ConnectiCare Exchange Rate"":""23.86"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""KIT PLEUREX CATHETER 7000"",""Revenue Code"":""278"",""Hospital Charge"":""1437.5"",""Minimum Rate"":""424.06"",""Maximum Rate"":""424.06"",""Self-Pay Rate"":""424.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, PLACEMENT PLEURX"",""Revenue Code"":""278"",""Hospital Charge"":""2000"",""Minimum Rate"":""590.00"",""Maximum Rate"":""590.00"",""Self-Pay Rate"":""590.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""KIT, PLEURX ACCESS"",""Revenue Code"":""278"",""Hospital Charge"":""62.5"",""Minimum Rate"":""18.44"",""Maximum Rate"":""18.44"",""Self-Pay Rate"":""18.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, DRAINAGE LOCK PLEURX"",""Revenue Code"":""278"",""Hospital Charge"":""121.43"",""Minimum Rate"":""35.82"",""Maximum Rate"":""35.82"",""Self-Pay Rate"":""35.82"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, DRAINAGE PLEURX"",""Revenue Code"":""278"",""Hospital Charge"":""147.5"",""Minimum Rate"":""43.51"",""Maximum Rate"":""43.51"",""Self-Pay Rate"":""43.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT ICU ARTERIAL BUNDLE"",""Revenue Code"":""272"",""Hospital Charge"":""80.33"",""Minimum Rate"":""23.70"",""Maximum Rate"":""23.70"",""Self-Pay Rate"":""23.70"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NEDL CENTSS 4 SIDES 18G"",""Revenue Code"":""278"",""Hospital Charge"":""39.7"",""Minimum Rate"":""11.71"",""Maximum Rate"":""11.71"",""Self-Pay Rate"":""11.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH ULTRANE GODRON 16FRx40CM"",""Revenue Code"":""278"",""Hospital Charge"":""190.65"",""Minimum Rate"":""56.24"",""Maximum Rate"":""56.24"",""Self-Pay Rate"":""56.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE STMCH BLAKEMORE ADLT 20FR"",""Revenue Code"":""272"",""Hospital Charge"":""365.88"",""Minimum Rate"":""107.93"",""Maximum Rate"":""107.93"",""Self-Pay Rate"":""107.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH SWAN-GANZ COMBO 110CM 8F"",""Revenue Code"":""278"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PENCIL ELECSURG SMOKE EVAC"",""Revenue Code"":""272"",""Hospital Charge"":""30.65"",""Minimum Rate"":""9.04"",""Maximum Rate"":""9.04"",""Self-Pay Rate"":""9.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PK NASAL RAPID RHINO 7.5CM"",""Revenue Code"":""272"",""Hospital Charge"":""91.75"",""Minimum Rate"":""27.07"",""Maximum Rate"":""27.07"",""Self-Pay Rate"":""27.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PERICARDIOCENT KIT PERIVAC 8.3"",""Revenue Code"":""272"",""Hospital Charge"":""418.33"",""Minimum Rate"":""123.41"",""Maximum Rate"":""123.41"",""Self-Pay Rate"":""123.41"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PASSER SHUNT CATH PERI 60CM"",""Revenue Code"":""272"",""Hospital Charge"":""375.75"",""Minimum Rate"":""110.85"",""Maximum Rate"":""110.85"",""Self-Pay Rate"":""110.85"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY SZ8"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY PROX8"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY SZ7"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY PROX7"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY SZ6"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE TRACH CUFFED SHILEY PROX6"",""Revenue Code"":""272"",""Hospital Charge"":""190.93"",""Minimum Rate"":""56.32"",""Maximum Rate"":""56.32"",""Self-Pay Rate"":""56.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH KIT CV DL MAC 9FRx10CM"",""Revenue Code"":""278"",""Hospital Charge"":""223.81"",""Minimum Rate"":""66.02"",""Maximum Rate"":""66.02"",""Self-Pay Rate"":""66.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LARYNGOSC VIDER STAT CBLT-RN"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""MANIFOLD INFUS T XT SET 3CVL"",""Revenue Code"":""272"",""Hospital Charge"":""33.83"",""Minimum Rate"":""9.98"",""Maximum Rate"":""9.98"",""Self-Pay Rate"":""9.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""INTERDRY AG SILVER 10INx12FT"",""Revenue Code"":""272"",""Hospital Charge"":""117.84"",""Minimum Rate"":""34.76"",""Maximum Rate"":""34.76"",""Self-Pay Rate"":""34.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COMPASS THROACENTESIS"",""Revenue Code"":""272"",""Hospital Charge"":""174.88"",""Minimum Rate"":""51.59"",""Maximum Rate"":""51.59"",""Self-Pay Rate"":""51.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CHEST TUBE TRY 14F QUICK THAL"",""Revenue Code"":""272"",""Hospital Charge"":""430.5"",""Minimum Rate"":""127.00"",""Maximum Rate"":""127.00"",""Self-Pay Rate"":""127.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE CRICO QUICK TRACH 4MM"",""Revenue Code"":""272"",""Hospital Charge"":""653.26"",""Minimum Rate"":""192.71"",""Maximum Rate"":""192.71"",""Self-Pay Rate"":""192.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRAIN CHEST VALVE COOK"",""Revenue Code"":""272"",""Hospital Charge"":""102.75"",""Minimum Rate"":""30.31"",""Maximum Rate"":""30.31"",""Self-Pay Rate"":""30.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN SENSATN+ 8FR 50ML"",""Revenue Code"":""272"",""Hospital Charge"":""2613.63"",""Minimum Rate"":""771.02"",""Maximum Rate"":""771.02"",""Self-Pay Rate"":""771.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN SENSATN+ 7.5FR 40ML"",""Revenue Code"":""272"",""Hospital Charge"":""2613.63"",""Minimum Rate"":""771.02"",""Maximum Rate"":""771.02"",""Self-Pay Rate"":""771.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT CARTRIDGE RAPID INFUSER"",""Revenue Code"":""272"",""Hospital Charge"":""749.38"",""Minimum Rate"":""221.07"",""Maximum Rate"":""221.07"",""Self-Pay Rate"":""221.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LL CONNECT NOMOLINE FEMALE"",""Revenue Code"":""272"",""Hospital Charge"":""35.69"",""Minimum Rate"":""10.53"",""Maximum Rate"":""10.53"",""Self-Pay Rate"":""10.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TRANSDUC SAFESET A-LINE 84"",""Revenue Code"":""272"",""Hospital Charge"":""104"",""Minimum Rate"":""30.68"",""Maximum Rate"":""30.68"",""Self-Pay Rate"":""30.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PK NASAL RHINO RAPID 5.5CM"",""Revenue Code"":""272"",""Hospital Charge"":""89"",""Minimum Rate"":""26.26"",""Maximum Rate"":""26.26"",""Self-Pay Rate"":""26.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT IV TRANSPAC W-SAFESET 60IN"",""Revenue Code"":""272"",""Hospital Charge"":""53.8"",""Minimum Rate"":""15.87"",""Maximum Rate"":""15.87"",""Self-Pay Rate"":""15.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH PNEUMOTHORX WAYNE 14F"",""Revenue Code"":""278"",""Hospital Charge"":""486.73"",""Minimum Rate"":""143.59"",""Maximum Rate"":""143.59"",""Self-Pay Rate"":""143.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLANKT HYPOTHRM STAND STRYKER"",""Revenue Code"":""271"",""Hospital Charge"":""525"",""Minimum Rate"":""154.88"",""Maximum Rate"":""447.14"",""Self-Pay Rate"":""154.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""447.14"",""ConnectiCare Exchange Rate"":""422.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLANKT HYPOTHRM LARGE STRYKER"",""Revenue Code"":""271"",""Hospital Charge"":""537.5"",""Minimum Rate"":""158.56"",""Maximum Rate"":""457.79"",""Self-Pay Rate"":""158.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""457.79"",""ConnectiCare Exchange Rate"":""432.04"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH COOK CV 8.5 x 15CM"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BRIDAL NASAL AMT PRO 16-18FR"",""Revenue Code"":""271"",""Hospital Charge"":""248"",""Minimum Rate"":""73.16"",""Maximum Rate"":""211.22"",""Self-Pay Rate"":""73.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""211.22"",""ConnectiCare Exchange Rate"":""199.34"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NASAL BRIDAY AMT PRO 12FR"",""Revenue Code"":""272"",""Hospital Charge"":""248"",""Minimum Rate"":""73.16"",""Maximum Rate"":""73.16"",""Self-Pay Rate"":""73.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""94640"",""DESC"":""AEROSOL-NEB RX TREATMENT"",""Revenue Code"":""410"",""Hospital Charge"":""298.12"",""Minimum Rate"":""87.95"",""Maximum Rate"":""551.72"",""Self-Pay Rate"":""87.95"",""Aetna Rate"":""178.81"",""Anthem HMO Rate"":""201.98"",""Anthem PPO Rate"":""201.98"",""CIGNA Rate"":""551.72"",""ConnectiCare Commercial Rate"":""253.91"",""ConnectiCare Exchange Rate"":""239.63"",""UnitedHealthcare\/Oxford Rate"":""136.00""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE GENERAL"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""96360"",""DESC"":""INFUSN: HYDRT INIT 31MIN >1HR"",""Revenue Code"":""260"",""Hospital Charge"":""675.34"",""Minimum Rate"":"" - "",""Maximum Rate"":""611.93"",""Self-Pay Rate"":""199.23"",""Aetna Rate"":""405.07"",""Anthem HMO Rate"":""457.54"",""Anthem PPO Rate"":""457.54"",""CIGNA Rate"":""611.93"",""ConnectiCare Commercial Rate"":""575.19"",""ConnectiCare Exchange Rate"":""542.84"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""96361"",""DESC"":""INFUSION: HYDRATION EA ADD HR"",""Revenue Code"":""260"",""Hospital Charge"":""454.83"",""Minimum Rate"":"" - "",""Maximum Rate"":""387.38"",""Self-Pay Rate"":""134.17"",""Aetna Rate"":""272.81"",""Anthem HMO Rate"":""308.15"",""Anthem PPO Rate"":""308.15"",""CIGNA Rate"":""118.40"",""ConnectiCare Commercial Rate"":""387.38"",""ConnectiCare Exchange Rate"":""365.59"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""96365"",""DESC"":""IV THERAPY UP>1 HOUR (INIT)"",""Revenue Code"":""260"",""Hospital Charge"":""933.32"",""Minimum Rate"":""275.33"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""275.33"",""Aetna Rate"":""559.81"",""Anthem HMO Rate"":""632.32"",""Anthem PPO Rate"":""632.32"",""CIGNA Rate"":""611.93"",""ConnectiCare Commercial Rate"":""794.91"",""ConnectiCare Exchange Rate"":""750.20"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96366"",""DESC"":""IV THERAPY EA ADD HOUR"",""Revenue Code"":""260"",""Hospital Charge"":""466.33"",""Minimum Rate"":""118.40"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""137.57"",""Aetna Rate"":""279.70"",""Anthem HMO Rate"":""315.94"",""Anthem PPO Rate"":""315.94"",""CIGNA Rate"":""118.40"",""ConnectiCare Commercial Rate"":""397.17"",""ConnectiCare Exchange Rate"":""374.84"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96367"",""DESC"":""IV THERAPY SEQUEN UP TO ONE HR"",""Revenue Code"":""260"",""Hospital Charge"":""979.84"",""Minimum Rate"":""180.98"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""289.05"",""Aetna Rate"":""587.71"",""Anthem HMO Rate"":""663.84"",""Anthem PPO Rate"":""663.84"",""CIGNA Rate"":""180.98"",""ConnectiCare Commercial Rate"":""834.53"",""ConnectiCare Exchange Rate"":""787.60"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96368"",""DESC"":""IV THERAPY CONCURRENT INFUSION"",""Revenue Code"":""260"",""Hospital Charge"":""585.76"",""Minimum Rate"":""172.80"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""172.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""498.89"",""ConnectiCare Exchange Rate"":""470.83"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96372"",""DESC"":""INJECTION SUB-Q IM"",""Revenue Code"":""260"",""Hospital Charge"":""449.25"",""Minimum Rate"":""132.53"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""132.53"",""Aetna Rate"":""269.46"",""Anthem HMO Rate"":""304.37"",""Anthem PPO Rate"":""304.37"",""CIGNA Rate"":""180.98"",""ConnectiCare Commercial Rate"":""382.63"",""ConnectiCare Exchange Rate"":""361.11"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96373"",""DESC"":""INJECTION, IN-ART THER-DIAG"",""Revenue Code"":""260"",""Hospital Charge"":""421.28"",""Minimum Rate"":""124.28"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""124.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""285.42"",""Anthem PPO Rate"":""285.42"",""CIGNA Rate"":""611.93"",""ConnectiCare Commercial Rate"":""358.80"",""ConnectiCare Exchange Rate"":""338.62"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96374"",""DESC"":""INJECTION IV TX-PROPH (INIT)"",""Revenue Code"":""260"",""Hospital Charge"":""446.69"",""Minimum Rate"":""131.77"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""131.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""302.63"",""Anthem PPO Rate"":""302.63"",""CIGNA Rate"":""611.93" ",""ConnectiCare Commercial Rate"":""380.45"",""ConnectiCare Exchange Rate"":""359.05"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96375"",""DESC"":""INJECT IV THER-DIAG EA ADD-NEW"",""Revenue Code"":""260"",""Hospital Charge"":""589.33"",""Minimum Rate"":""118.40"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""173.85"",""Aetna Rate"":""353.48"",""Anthem HMO Rate"":""399.27"",""Anthem PPO Rate"":""399.27"",""CIGNA Rate"":""118.40"",""ConnectiCare Commercial Rate"":""501.93"",""ConnectiCare Exchange Rate"":""473.70"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96376"",""DESC"":""IV PUSH SAME DRUG - SEQUENTIAL"",""Revenue Code"":""260"",""Hospital Charge"":""492.16"",""Minimum Rate"":""145.19"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""145.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""333.44"",""Anthem PPO Rate"":""333.44"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""419.17"",""ConnectiCare Exchange Rate"":""395.60"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""70200"",""DESC"":""XR ORBITS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""56.15"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""56.15"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""180.03"",""ConnectiCare Commercial Rate"":""297.97"",""ConnectiCare Exchange Rate"":""278.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70250"",""DESC"":""XR SKULL AP LATERAL"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.09"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.09"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""150.43"",""ConnectiCare Commercial Rate"":""232.42"",""ConnectiCare Exchange Rate"":""217.08"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""71110"",""DESC"":""XR RIBS BILATERAL"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.81"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.81"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""164.25"",""ConnectiCare Commercial Rate"":""258.68"",""ConnectiCare Exchange Rate"":""241.60"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""71120"",""DESC"":""XR STERNUM"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""206.26"",""ConnectiCare Exchange Rate"":""192.64"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71130"",""DESC"":""XR STERNOCLAVIC JOINTS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.96"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.96"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""158.35"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73565"",""DESC"":""XR KNEES BILATERAL STANDING"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.81"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.81"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""154.38"",""ConnectiCare Commercial Rate"":""274.98"",""ConnectiCare Exchange Rate"":""256.83"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""72040"",""DESC"":""XR CERVICAL SPINE 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""168.21"",""ConnectiCare Commercial Rate"":""245.55"",""ConnectiCare Exchange Rate"":""229.34"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""72050"",""DESC"":""XR CERVICAL SPINE COMPLETE"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""57.59"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""57.59"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""225.52"",""ConnectiCare Commercial Rate"":""337.26"",""ConnectiCare Exchange Rate"":""315.00"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72052"",""DESC"":""XR CERVICAL SPINE COMP W FLEX&"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""74.85"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""74.85"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""298.63"",""ConnectiCare Commercial Rate"":""405.99"",""ConnectiCare Exchange Rate"":""379.19"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72070"",""DESC"":""XR THORACIC SPINE 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""39.61"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""39.61"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""136.60"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72100"",""DESC"":""XR LUMBAR SPINE 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.81"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.81"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""152.37"",""ConnectiCare Commercial Rate"":""245.55"",""ConnectiCare Exchange Rate"":""229.34"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72110"",""DESC"":""XR LUMBAR SPINE COMPLETE"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""65.50"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""65.50"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""207.72"",""ConnectiCare Commercial Rate"":""324.14"",""ConnectiCare Exchange Rate"":""302.74"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72114"",""DESC"":""XR LUMBAR SPINE COMP W BEND"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""91.39"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""91.39"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""292.72"",""ConnectiCare Commercial Rate"":""405.99"",""ConnectiCare Exchange Rate"":""379.19"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72120"",""DESC"":""XR LUMBAR SPINE BENDING ONLY"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""56.87"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""56.87"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""191.94"",""ConnectiCare Commercial Rate"":""258.68"",""ConnectiCare Exchange Rate"":""241.60"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72080"",""DESC"":""XR SCOLIOSIS 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""150.43"",""ConnectiCare Commercial Rate"":""212.78"",""ConnectiCare Exchange Rate"":""198.73"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""72170"",""DESC"":""XR PELVIS 1 VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""36.74"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""36.74"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""104.99"",""ConnectiCare Commercial Rate"":""180.09"",""ConnectiCare Exchange Rate"":""168.20"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72190"",""DESC"":""XR PELVIS 3 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""54.00"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""54.00"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""189.93"",""ConnectiCare Commercial Rate"":""255.33"",""ConnectiCare Exchange Rate"":""238.48"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72202"",""DESC"":""XR SACROILIAC JOINT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.81"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.81"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""152.37"",""ConnectiCare Commercial Rate"":""242.29"",""ConnectiCare Exchange Rate"":""226.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72220"",""DESC"":""XR SACRUM & COCCYX"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""122.77"",""ConnectiCare Commercial Rate"":""206.26"",""ConnectiCare Exchange Rate"":""192.64"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73050"",""DESC"":""XR AC JOINTS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""49.69"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""49.69"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""174.14"",""ConnectiCare Commercial Rate"":""199.73"",""ConnectiCare Exchange Rate"":""186.55"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73092"",""DESC"":""XR INFANT EXTREMITY UPPER"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""120.80"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73592"",""DESC"":""XR INFANT EXTREMITY LOWER"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""144.48"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""74022"",""DESC"":""ABD SERIES COMPLT ACUTE 2+ VWS"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""56.15"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""56.15"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""195.91"",""ConnectiCare Commercial Rate"":""297.97"",""ConnectiCare Exchange Rate"":""278.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""77072"",""DESC"":""XR BONE AGE"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""27.39"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""27.39"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""83.24"",""ConnectiCare Commercial Rate"":""144.05"",""ConnectiCare Exchange Rate"":""134.54"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""77073"",""DESC"":""XR BONE LENGTH"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""144.48"",""ConnectiCare Commercial Rate"":""278.32"",""ConnectiCare Exchange Rate"":""259.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""77080"",""DESC"":""XR BONE DENSITOMETRY"",""Revenue Code"":""320"",""Hospital Charge"":""1165.51"",""Minimum Rate"":""62.63"",""Maximum Rate"":""775.06"",""Self-Pay Rate"":""318.18"",""Aetna Rate"":""718.77"",""Anthem HMO Rate"":""62.63"",""Anthem PPO Rate"":""775.06"",""CIGNA Rate"":""506.91"",""ConnectiCare Commercial Rate"":""271.72"",""ConnectiCare Exchange Rate"":""253.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""77076"",""DESC"":""XR BONE SURVEY CHILD"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""120.14"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""120.14"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""436.98"",""ConnectiCare Commercial Rate"":""625.37"",""ConnectiCare Exchange Rate"":""584.09"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""62270"",""DESC"":""LUMBAR-SPINAL PUNCTURE DIAG"",""Revenue Code"":""361"",""Hospital Charge"":""3840.92"",""Minimum Rate"":""1,497.96"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,497.96"",""Aetna Rate"":""1,775.66"",""Anthem HMO Rate"":""2,066.41"",""Anthem PPO Rate"":""2,205.46"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,271.31"",""ConnectiCare Exchange Rate"":""3,087.33"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""72072"",""DESC"":""XR THORACIC SPINE W SWIMMERS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.81"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.81"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""160.32"",""ConnectiCare Commercial Rate"":""245.55"",""ConnectiCare Exchange Rate"":""229.34"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72074"",""DESC"":""XR THORACIC SPINE W OBLIQUES"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""56.15"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""56.15"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""201.81"",""ConnectiCare Commercial Rate"":""281.58"",""ConnectiCare Exchange Rate"":""263.00"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73000"",""DESC"":""XR CLAVICLE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""209.52"",""ConnectiCare Exchange Rate"":""195.69"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73080"",""DESC"":""XR ELBOW LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""44.65"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""44.65"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""152.37"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73090"",""DESC"":""XR FOREARM LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""34.59"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""34.59"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""186.61"",""ConnectiCare Exchange Rate"":""174.29"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73060"",""DESC"":""XR HUMERUS LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""209.52"",""ConnectiCare Exchange Rate"":""195.69"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73010"",""DESC"":""XR SCAPULA LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""132.66"",""ConnectiCare Commercial Rate"":""170.22"",""ConnectiCare Exchange Rate"":""158.99"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73030"",""DESC"":""XR SHOULDER LT CMPLT 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""126.69"",""ConnectiCare Commercial Rate"":""216.04"",""ConnectiCare Exchange Rate"":""201.78"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73100"",""DESC"":""XR WRIST AP & LAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""136.60"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73110"",""DESC"":""XR WRIST COMPLETE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""52.56"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""52.56"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""172.15"",""ConnectiCare Commercial Rate"":""274.98"",""ConnectiCare Exchange Rate"":""256.83"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73120"",""DESC"":""XR HAND AP & LAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""199.73"",""ConnectiCare Exchange Rate"":""186.55"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73130"",""DESC"":""XR HAND COMPLETE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""142.56"",""ConnectiCare Commercial Rate"":""239.03"",""ConnectiCare Exchange Rate"":""223.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER THUMB LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER SECOND LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER THIRD LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER FOURTH LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER FIFTH LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73000"",""DESC"":""XR CLAVICLE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""209.52"",""ConnectiCare Exchange Rate"":""195.69"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73080"",""DESC"":""XR ELBOW RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""44.65"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""44.65"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""152.37"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73090"",""DESC"":""XR FOREARM RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""34.59"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""34.59"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""186.61"",""ConnectiCare Exchange Rate"":""174.29"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73060"",""DESC"":""XR HUMERUS RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""209.52"",""ConnectiCare Exchange Rate"":""195.69"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73010"",""DESC"":""XR SCAPULA RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""132.66"",""ConnectiCare Commercial Rate"":""170.22"",""ConnectiCare Exchange Rate"":""158.99"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73030"",""DESC"":""XR SHOULDER RT CMPLT 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""126.69"",""ConnectiCare Commercial Rate"":""216.04"",""ConnectiCare Exchange Rate"":""201.78"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73100"",""DESC"":""XR WRIST AP & LAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""136.60"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73110"",""DESC"":""XR WRIST COMPLETE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""52.56"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""52.56"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""172.15"",""ConnectiCare Commercial Rate"":""274.98"",""ConnectiCare Exchange Rate"":""256.83"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73120"",""DESC"":""XR HAND AP & LAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""199.73"",""ConnectiCare Exchange Rate"":""186.55"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73130"",""DESC"":""XR HAND COMPLETE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""142.56"",""ConnectiCare Commercial Rate"":""239.03"",""ConnectiCare Exchange Rate"":""223.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER THUMB RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER SECOND RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER THIRD RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER FOURTH RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73140"",""DESC"":""XR FINGER FIFTH RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.24"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.24"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""156.34"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73600"",""DESC"":""XR ANKLE AP & LAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""37.46"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""37.46"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""212.78"",""ConnectiCare Exchange Rate"":""198.73"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73610"",""DESC"":""XR ANKLE COMPLETE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""44.65"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""44.65"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""148.47"",""ConnectiCare Commercial Rate"":""239.03"",""ConnectiCare Exchange Rate"":""223.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73620"",""DESC"":""XR FOOT AP & LAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""36.02"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""36.02"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73630"",""DESC"":""XR FOOT COMPLETE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71101"",""DESC"":""XR RIBS UNI INCLUD AP CHEST 3V"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""45.37"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""45.37"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""158.35"",""ConnectiCare Commercial Rate"":""252.07"",""ConnectiCare Exchange Rate"":""235.43"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73564"",""DESC"":""XR KNEE & PATELLA W OBLIQUES R"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""56.15"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""56.15"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""189.93"",""ConnectiCare Commercial Rate"":""297.97"",""ConnectiCare Exchange Rate"":""278.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73560"",""DESC"":""XR KNEE AP & LAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""39.61"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""39.61"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""229.16"",""ConnectiCare Exchange Rate"":""214.04"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73562"",""DESC"":""XR KNEE COMPLETE RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.96"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.96"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""164.25"",""ConnectiCare Commercial Rate"":""271.72"",""ConnectiCare Exchange Rate"":""253.78"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73590"",""DESC"":""XR TIBIA FIBULA RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""114.89"",""ConnectiCare Commercial Rate"":""206.26"",""ConnectiCare Exchange Rate"":""192.64"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73650"",""DESC"":""XR OS CALCIS HEEL RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""37.46"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""37.46"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""122.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71100"",""DESC"":""XR RIBS RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE GREAT RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE SECOND RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE THIRD RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE FOURTH RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE FIFTH RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73600"",""DESC"":""XR ANKLE AP & LAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""37.46"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""37.46"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""212.78"",""ConnectiCare Exchange Rate"":""198.73"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73610"",""DESC"":""XR ANKLE COMPLETE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""44.65"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""44.65"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""148.47"",""ConnectiCare Commercial Rate"":""239.03"",""ConnectiCare Exchange Rate"":""223.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73620"",""DESC"":""XR FOOT AP & LAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""36.02"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""36.02"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""118.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73630"",""DESC"":""XR FOOT COMPLETE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""41.06"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""41.06"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73564"",""DESC"":""XR KNEE & PATELLA W-OBLIQUES L"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""56.15"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""56.15"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""189.93"",""ConnectiCare Commercial Rate"":""297.97"",""ConnectiCare Exchange Rate"":""278.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73560"",""DESC"":""XR KNEE AP & LAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""39.61"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""39.61"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""229.16"",""ConnectiCare Exchange Rate"":""214.04"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73562"",""DESC"":""XR KNEE COMPLETE LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""48.96"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""48.96"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""164.25"",""ConnectiCare Commercial Rate"":""271.72"",""ConnectiCare Exchange Rate"":""253.78"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73590"",""DESC"":""XR TIBIA FIBULA LT"",""Revenue Cod" ":320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""35.31"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""114.89"",""ConnectiCare Commercial Rate"":""206.26"",""ConnectiCare Exchange Rate"":""192.64"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73650"",""DESC"":""XR OS CALCIS HEEL LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""37.46"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""37.46"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""122.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71100"",""DESC"":""XR RIBS LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE GREAT LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE SECOND LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE THIRD LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE FOURTH LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73660"",""DESC"":""XR TOE FIFTH LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""42.50"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""42.50"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""140.56"",""ConnectiCare Commercial Rate"":""196.39"",""ConnectiCare Exchange Rate"":""183.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""77003"",""DESC"":""XR FLUOROGUIDE FOR SPINE INJEC"",""Revenue Code"":""320"",""Hospital Charge"":""1451.56"",""Minimum Rate"":"" - "",""Maximum Rate"":""965.29"",""Self-Pay Rate"":""396.28"",""Aetna Rate"":""895.18"",""Anthem HMO Rate"":""110.80"",""Anthem PPO Rate"":""965.29"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""654.88"",""ConnectiCare Exchange Rate"":""611.66"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB CLAVICLE BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB ELBOW BILAT MIN 3VW EASD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB FORARM BILAT 2VW EA SIDE"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB HMERUS BILT MIN2VW EA SD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB SCAPULA BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRCB SHOULD BILAT MIN2VW EA SD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB WRIST AP & LAT BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB WRIST COMP BILAT 3VWEASD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB HAND AP & LAT BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB HAND COMP BILAT 3VW EASD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB ANKLE AP & LAT BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB ANKLE COMP BILAT 3VWEASD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB FEMUR BILAT 2VWS EA SIDE"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB FOOT AP & LAT BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB FOOT COMP BILAT 3VW EASD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB TIB FIB BILAT 2VW EA SD"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""XRACB KNEE AP & LAT BILAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77081"",""DESC"":""XR BONE DENS APPEND SKEL DUAL"",""Revenue Code"":""320"",""Hospital Charge"":""468.02"",""Minimum Rate"":""34.59"",""Maximum Rate"":""311.23"",""Self-Pay Rate"":""127.77"",""Aetna Rate"":""288.63"",""Anthem HMO Rate"":""34.59"",""Anthem PPO Rate"":""311.23"",""CIGNA Rate"":""104.99"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""77073"",""DESC"":""XR BONE LNGTH STDY (SCANOGRAM)"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""144.48"",""ConnectiCare Commercial Rate"":""278.32"",""ConnectiCare Exchange Rate"":""259.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72052"",""DESC"":""C-SPINE AP&LAT FLEX & EXT"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""74.85"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""74.85"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""298.63"",""ConnectiCare Commercial Rate"":""405.99"",""ConnectiCare Exchange Rate"":""379.19"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72114"",""DESC"":""L-SPINE AP&LAT FLEX & EXT"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""91.39"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""91.39"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""292.72"",""ConnectiCare Commercial Rate"":""405.99"",""ConnectiCare Exchange Rate"":""379.19"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""71111"",""DESC"":""BILATERAL RIBS INC AP CXR"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""61.91"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""61.91"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""223.55"",""ConnectiCare Commercial Rate"":""320.88"",""ConnectiCare Exchange Rate"":""299.70"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""XRACB CHEST 3VWS INS-EXP-LAT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73560"",""DESC"":""XR KNEE SINGLE VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""39.61"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""39.61"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""130.66"",""ConnectiCare Commercial Rate"":""229.16"",""ConnectiCare Exchange Rate"":""214.04"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73070"",""DESC"":""XR ELBOW 2 VIEW RT"",""Revenue Code"":""320"",""Hospital Charge"":""687.33"",""Minimum Rate"":""38.18"",""Maximum Rate"":""457.07"",""Self-Pay Rate"":""187.64"",""Aetna Rate"":""423.88"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""457.07"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73070"",""DESC"":""XR ELBOW 2 VIEW LT"",""Revenue Code"":""320"",""Hospital Charge"":""687.33"",""Minimum Rate"":""38.18"",""Maximum Rate"":""457.07"",""Self-Pay Rate"":""187.64"",""Aetna Rate"":""423.88"",""Anthem HMO Rate"":""38.18"",""Anthem PPO Rate"":""457.07"",""CIGNA Rate"":""124.77"",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""77085"",""DESC"":""XR BONE DENSTY W VERTEB ASSMT"",""Revenue Code"":""320"",""Hospital Charge"":""376.01"",""Minimum Rate"":""82.76"",""Maximum Rate"":""393.79"",""Self-Pay Rate"":""102.65"",""Aetna Rate"":""231.89"",""Anthem HMO Rate"":""82.76"",""Anthem PPO Rate"":""250.05"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""353.57"",""ConnectiCare Exchange Rate"":""330.23"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""77086"",""DESC"":""XR BONE DENSITY > VERTEB ASSMT"",""Revenue Code"":""320"",""Hospital Charge"":""234.9"",""Minimum Rate"":""54.00"",""Maximum Rate"":""239.03"",""Self-Pay Rate"":""64.13"",""Aetna Rate"":""144.86"",""Anthem HMO Rate"":""54.00"",""Anthem PPO Rate"":""156.21"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""239.03"",""ConnectiCare Exchange Rate"":""223.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""76499"",""DESC"":""UNLIST DIAG RADIOLOGIC PROC"",""Revenue Code"":""320"",""Hospital Charge"":""3379.24"",""Minimum Rate"":""218.05"",""Maximum Rate"":""2,247.19"",""Self-Pay Rate"":""922.53"",""Aetna Rate"":""2,083.98"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":""2,247.19"",""CIGNA Rate"":""274.64"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""72081"",""DESC"":""RAD EXAM SPINAL COLUMN 1 VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""51.24"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""51.24"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""258.68"",""ConnectiCare Exchange Rate"":""241.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""72082"",""DESC"":""RAD EXAM SPINAL COLUMN 2-3VWS"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""93.02"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""93.02"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""471.45"",""ConnectiCare Exchange Rate"":""440.33"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73501"",""DESC"":""EXAM HIP-PELVIS 1 VIEW LT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""41.14"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""41.14"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73501"",""DESC"":""EXAM HIP-PELVIS 1 VIEW RT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""41.14"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""41.14"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73502"",""DESC"":""EXAM HIP-PELVIS 2-3 VIEWS LT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""60.60"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""60.60"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""311.01"",""ConnectiCare Exchange Rate"":""290.49"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73502"",""DESC"":""EXAM HIP-PELVIS 2-3 VIEWS RT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""60.60"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""60.60"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""311.01"",""ConnectiCare Exchange Rate"":""290.49"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73503"",""DESC"":""EXAM HIP-PELVIS 4 VIEWS LT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""75.01"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""75.01"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""386.34"",""ConnectiCare Exchange Rate"":""360.84"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73503"",""DESC"":""EXAM HIP-PELVIS 4 VIEWS RT"",""Revenue Code"":""320"",""Hospital Charge"":""696.7"",""Minimum Rate"":""75.01"",""Maximum Rate"":""463.31"",""Self-Pay Rate"":""190.20"",""Aetna Rate"":""429.65"",""Anthem HMO Rate"":""75.01"",""Anthem PPO Rate"":""463.31"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""386.34"",""ConnectiCare Exchange Rate"":""360.84"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73521"",""DESC"":""EXAM HIP-PEL BILAT 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""57.00"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""57.00"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73522"",""DESC"":""EXAM HIP-PEL BILAT 3-4 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""67.80"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""67.80"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""383.73"",""ConnectiCare Commercial Rate"":""340.53"",""ConnectiCare Exchange Rate"":""318.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73523"",""DESC"":""EXAM HIP-PEL BILAT 5 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""1209.34"",""Minimum Rate"":""81.48"",""Maximum Rate"":""804.21"",""Self-Pay Rate"":""330.15"",""Aetna Rate"":""745.80"",""Anthem HMO Rate"":""81.48"",""Anthem PPO Rate"":""804.21"",""CIGNA Rate"":""769.00"",""ConnectiCare Commercial Rate"":""396.21"",""ConnectiCare Exchange Rate"":""370.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""73551"",""DESC"":""EXAM FEMUR 1 VIEW LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.98"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.98"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""189.87"",""ConnectiCare Exchange Rate"":""177.34"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73551"",""DESC"":""EXAM FEMUR 1 VIEW RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""38.98"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""38.98"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""189.87"",""ConnectiCare Exchange Rate"":""177.34"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73552"",""DESC"":""EXAM FEMUR 2 VIEWS-RT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""232.42"",""ConnectiCare Exchange Rate"":""217.08"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73552"",""DESC"":""EXAM FEMUR 2 VIEWS-LT"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""46.18"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""46.18"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""203.77"",""ConnectiCare Commercial Rate"":""232.42"",""ConnectiCare Exchange Rate"":""217.08"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71045"",""DESC"":""XR CHEST 1 VIEW"",""Revenue Code"":""324"",""Hospital Charge"":""721.7"",""Minimum Rate"":""21.64"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""21.64"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""150.57"",""ConnectiCare Exchange Rate"":""140.64"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71046"",""DESC"":""XR CHEST 2 VIEWS"",""Revenue Code"":""324"",""Hospital Charge"":""721.7"",""Minimum Rate"":""39.59"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""39.59"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""199.73"",""ConnectiCare Exchange Rate"":""186.55"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71047"",""DESC"":""XR CHEST 3 VIEWS"",""Revenue Code"":""324"",""Hospital Charge"":""721.7"",""Minimum Rate"":""50.36"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""50.36"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""252.07"",""ConnectiCare Exchange Rate"":""235.43"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""71048"",""DESC"":""XR CHEST 4 & > VIEWS"",""Revenue Code"":""324"",""Hospital Charge"":""721.7"",""Minimum Rate"":""51.79"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""51.79"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""261.94"",""ConnectiCare Exchange Rate"":""244.65"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""74018"",""DESC"":""XR ABD-KUB 1 VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""36.72"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""36.72"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""183.35"",""ConnectiCare Exchange Rate"":""171.25"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""74019"",""DESC"":""XR ABD-KUB 2 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""1649.69"",""Minimum Rate"":""43.90"",""Maximum Rate"":""1,097.04"",""Self-Pay Rate"":""450.37"",""Aetna Rate"":""1,017.36"",""Anthem HMO Rate"":""43.90"",""Anthem PPO Rate"":""1,097.04"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""222.64"",""ConnectiCare Exchange Rate"":""207.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""XRCB KNEE COMPLETE RT & LT"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77081"",""DESC"":""XRwXS BONE DENS APPND SKL DUAL"",""Revenue Code"":""320"",""Hospital Charge"":""468.02"",""Minimum Rate"":""34.59"",""Maximum Rate"":""311.23"",""Self-Pay Rate"":""127.77"",""Aetna Rate"":""288.63"",""Anthem HMO Rate"":""34.59"",""Anthem PPO Rate"":""311.23"",""CIGNA Rate"":""104.99"",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73020"",""DESC"":""XR SHOULDER RT 1 VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""30.26"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""30.26"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""99.04"",""ConnectiCare Commercial Rate"":""124.41"",""ConnectiCare Exchange Rate"":""116.19"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73020"",""DESC"":""XR SHOULDER LT 1 VIEW"",""Revenue Code"":""320"",""Hospital Charge"":""721.7"",""Minimum Rate"":""30.26"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""30.26"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""99.04"",""ConnectiCare Commercial Rate"":""124.41"",""ConnectiCare Exchange Rate"":""116.19"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""74021"",""DESC"":""XR ABD SERIES 3-4 VIEWS"",""Revenue Code"":""320"",""Hospital Charge"":""1490.86"",""Minimum Rate"":""51.08"",""Maximum Rate"":""991.42"",""Self-Pay Rate"":""407.00"",""Aetna Rate"":""919.41"",""Anthem HMO Rate"":""51.08"",""Anthem PPO Rate"":""991.42"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""258.68"",""ConnectiCare Exchange Rate"":""241.60"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""XRACB FL LUMBAR PUNC-CISTERNGM"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""74221"",""DESC"":""XR ESOPHAGRAM DBLE CONTRAST"",""Revenue Code"":""320"",""Hospital Charge"":""842"",""Minimum Rate"":""149.14"",""Maximum Rate"":""677.79"",""Self-Pay Rate"":""229.87"",""Aetna Rate"":""519.26"",""Anthem HMO Rate"":""149.14"",""Anthem PPO Rate"":""559.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""677.79"",""ConnectiCare Exchange Rate"":""633.05"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""83020"",""DESC"":""HEMOGLOBIN ELECTROPHORESIS"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""18.27"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""87340"",""DESC"":""HEPATITIS B SURFACE ANTIGEN"",""Revenue Code"":""300"",""Hospital Charge"":""105.45"",""Minimum Rate"":""13.11"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.56"",""Aetna Rate"":""30.67"",""Anthem HMO Rate"":""13.11"",""Anthem PPO Rate"":""13.11"",""CIGNA Rate"":""31.06"",""ConnectiCare Commercial Rate"":""29.32"",""ConnectiCare Exchange Rate"":""14.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83874"",""DESC"":""MYOGLOBIN SCREEN, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""310.9"",""Minimum Rate"":""16.38"",""Maximum Rate"":""73.36"",""Self-Pay Rate"":""54.72"",""Aetna Rate"":""38.35"",""Anthem HMO Rate"":""16.38"",""Anthem PPO Rate"":""16.38"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""73.36"",""ConnectiCare Exchange Rate"":""17.55"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""78122"",""DESC"":""BLOOD VOLUME"",""Revenue Code"":""341"",""Hospital Charge"":""2504.65"",""Minimum Rate"":""157.62"",""Maximum Rate"":""1,665.59"",""Self-Pay Rate"":""683.77"",""Aetna Rate"":""1,544.62"",""Anthem HMO Rate"":""157.62"",""Anthem PPO Rate"":""1,665.59"",""CIGNA Rate"":""482.94"",""ConnectiCare Commercial Rate"":""703.88"",""ConnectiCare Exchange Rate"":""657.42"",""UnitedHealthcare\/Oxford Rate"":""1,594.32""},{""CPT-4"":""78130"",""DESC"":""RBC SURVIVAL"",""Revenue Code"":""341"",""Hospital Charge"":""3043.88"",""Minimum Rate"":""269.21"",""Maximum Rate"":""2,024.18"",""Self-Pay Rate"":""830.98"",""Aetna Rate"":""1,877.16"",""Anthem HMO Rate"":""269.21"",""Anthem PPO Rate"":""2,024.18"",""CIGNA Rate"":""740.03"",""ConnectiCare Commercial Rate"":""936.30"",""ConnectiCare Exchange Rate"":""874.50"",""UnitedHealthcare\/Oxford Rate"":""1,237.22""},{""CPT-4"":""84436"",""DESC"":""T4, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""165.37"",""Minimum Rate"":""8.71"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""29.11"",""Aetna Rate"":""20.43"",""Anthem HMO Rate"":""8.71"",""Anthem PPO Rate"":""8.71"",""CIGNA Rate"":""20.95"",""ConnectiCare Commercial Rate"":""9.75"",""ConnectiCare Exchange Rate"":""9.33"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84703"",""DESC"":""HCG, QUALITATIVE"",""Revenue Code"":""301"",""Hospital Charge"":""180.83"",""Minimum Rate"":""9.53"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""31.83"",""Aetna Rate"":""22.30"",""Anthem HMO Rate"":""9.53"",""Anthem PPO Rate"":""9.53"",""CIGNA Rate"":""22.38"",""ConnectiCare Commercial Rate"":""10.68"",""ConnectiCare Exchange Rate"":""10.22"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84702"",""DESC"":""HCG, QUANTITATIVE"",""Revenue Code"":""301"",""Hospital Charge"":""280.73"",""Minimum Rate"":""14.80"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""49.41"",""Aetna Rate"":""34.63"",""Anthem HMO Rate"":""14.80"",""Anthem PPO Rate"":""14.80"",""CIGNA Rate"":""45.46"",""ConnectiCare Commercial Rate"":""42.76"",""ConnectiCare Exchange Rate"":""20.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""89320"",""DESC"":""SEMEN ANAL, COMPLETE"",""Revenue Code"":""309"",""Hospital Charge"":""290.08"",""Minimum Rate"":""15.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""51.05"",""Aetna Rate"":""35.80"",""Anthem HMO Rate"":""15.29"",""Anthem PPO Rate"":""15.29"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""34.22"",""ConnectiCare Exchange Rate"":""16.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83935"",""DESC"":""OSMOLALITY, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""164.12"",""Minimum Rate"":""8.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""28.89"",""Aetna Rate"":""20.24"",""Anthem HMO Rate"":""8.65"",""Anthem PPO Rate"":""8.65"",""CIGNA Rate"":""20.19"",""ConnectiCare Commercial Rate"":""9.68"",""ConnectiCare Exchange Rate"":""9.26"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82945"",""DESC"":""URINE-GLUCOSE QUANT."",""Revenue Code"":""300"",""Hospital Charge"":""94.52"",""Minimum Rate"":""4.97"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.64"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""22.32"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82140"",""DESC"":""AMMONIA"",""Revenue Code"":""301"",""Hospital Charge"":""350.81"",""Minimum Rate"":""18.49"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""61.74"",""Aetna Rate"":""43.28"",""Anthem HMO Rate"":""18.49"",""Anthem PPO Rate"":""18.49"",""CIGNA Rate"":""44.03"",""ConnectiCare Commercial Rate"":""20.69"",""ConnectiCare Exchange Rate"":""19.79"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80184"",""DESC"":""PHENOBARBITAL"",""Revenue Code"":""301"",""Hospital Charge"":""275.86"",""Minimum Rate"":""14.53"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""48.55"",""Aetna Rate"":""34.03"",""Anthem HMO Rate"":""14.53"",""Anthem PPO Rate"":""14.53"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""35.20"",""ConnectiCare Exchange Rate"":""16.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82247"",""DESC"":""BILIRUBIN TOTAL NEA"",""Revenue Code"":""300"",""Hospital Charge"":""120.85"",""Minimum Rate"":""6.37"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.27"",""Aetna Rate"":""14.92"",""Anthem HMO Rate"":""6.37"",""Anthem PPO Rate"":""6.37"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""14.24"",""ConnectiCare Exchange Rate"":""6.81"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82248"",""DESC"":""BILIRUBIN DIRECT NEA"",""Revenue Code"":""300"",""Hospital Charge"":""120.85"",""Minimum Rate"":""6.37"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.27"",""Aetna Rate"":""14.92"",""Anthem HMO Rate"":""6.37"",""Anthem PPO Rate"":""6.37"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""14.24"",""ConnectiCare Exchange Rate"":""6.81"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82247"",""DESC"":""BILIRUBIN, TOTAL"",""Revenue Code"":""300"",""Hospital Charge"":""120.85"",""Minimum Rate"":""6.37"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.27"",""Aetna Rate"":""14.92"",""Anthem HMO Rate"":""6.37"",""Anthem PPO Rate"":""6.37"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""14.24"",""ConnectiCare Exchange Rate"":""6.81"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82310"",""DESC"":""CALCIUM"",""Revenue Code"":""301"",""Hospital Charge"":""124.21"",""Minimum Rate"":""6.54"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.86"",""Aetna Rate"":""15.31"",""Anthem HMO Rate"":""6.54"",""Anthem PPO Rate"":""6.54"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""7.33"",""ConnectiCare Exchange Rate"":""7.01"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82374"",""DESC"":""CARBON DIOXIDE, CO2"",""Revenue Code"":""301"",""Hospital Charge"":""117.72"",""Minimum Rate"":""6.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.72"",""Aetna Rate"":""14.52"",""Anthem HMO Rate"":""6.20"",""Anthem PPO Rate"":""6.20"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.86"",""ConnectiCare Exchange Rate"":""6.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82436"",""DESC"":""CHLORIDE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""120.96"",""Minimum Rate"":""6.38"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.29"",""Aetna Rate"":""14.92"",""Anthem HMO Rate"":""6.38"",""Anthem PPO Rate"":""6.38"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""7.14"",""ConnectiCare Exchange Rate"":""6.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82435"",""DESC"":""CHLORIDE, CL"",""Revenue Code"":""301"",""Hospital Charge"":""110.63"",""Minimum Rate"":""5.83"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.47"",""Aetna Rate"":""13.65"",""Anthem HMO Rate"":""5.83"",""Anthem PPO Rate"":""5.83"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""19.59"",""ConnectiCare Exchange Rate"":""6.25"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82465"",""DESC"":""CHOLESTEROL, FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""95"",""Minimum Rate"":""5.52"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.72"",""Aetna Rate"":" "12.92"",""Anthem HMO Rate"":""5.52"",""Anthem PPO Rate"":""5.52"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""12.36"",""ConnectiCare Exchange Rate"":""5.91"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82465"",""DESC"":""CHOLESTEROL, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""95"",""Minimum Rate"":""5.52"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.72"",""Aetna Rate"":""12.92"",""Anthem HMO Rate"":""5.52"",""Anthem PPO Rate"":""5.52"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""12.36"",""ConnectiCare Exchange Rate"":""5.91"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83721"",""DESC"":""LDL CHOLESTEROL, DIRECT"",""Revenue Code"":""300"",""Hospital Charge"":""88.35"",""Minimum Rate"":""12.10"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.55"",""Aetna Rate"":""28.34"",""Anthem HMO Rate"":""12.10"",""Anthem PPO Rate"":""12.10"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""13.55"",""ConnectiCare Exchange Rate"":""12.96"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80185"",""DESC"":""DILANTIN"",""Revenue Code"":""301"",""Hospital Charge"":""319.26"",""Minimum Rate"":""16.82"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.19"",""Aetna Rate"":""39.37"",""Anthem HMO Rate"":""16.82"",""Anthem PPO Rate"":""16.82"",""CIGNA Rate"":""39.69"",""ConnectiCare Commercial Rate"":""18.81"",""ConnectiCare Exchange Rate"":""18.00"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82565"",""DESC"":""CREATININE"",""Revenue Code"":""301"",""Hospital Charge"":""123.34"",""Minimum Rate"":""6.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.71"",""Aetna Rate"":""15.22"",""Anthem HMO Rate"":""6.50"",""Anthem PPO Rate"":""6.50"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""29.12"",""ConnectiCare Exchange Rate"":""6.96"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82570"",""DESC"":""CREATININE, FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""29.40"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82575"",""DESC"":""CREATININE CLEARANCE"",""Revenue Code"":""301"",""Hospital Charge"":""227.47"",""Minimum Rate"":""11.99"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""40.03"",""Aetna Rate"":""28.06"",""Anthem HMO Rate"":""11.99"",""Anthem PPO Rate"":""11.99"",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""26.84"",""ConnectiCare Exchange Rate"":""12.84"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82150"",""DESC"":""AMYLASE"",""Revenue Code"":""301"",""Hospital Charge"":""156.13"",""Minimum Rate"":""8.22"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.48"",""Aetna Rate"":""19.26"",""Anthem HMO Rate"":""8.22"",""Anthem PPO Rate"":""8.22"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""46.00"",""ConnectiCare Exchange Rate"":""8.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82150"",""DESC"":""AMYLASE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""156.13"",""Minimum Rate"":""8.22"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.48"",""Aetna Rate"":""19.26"",""Anthem HMO Rate"":""8.22"",""Anthem PPO Rate"":""8.22"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""46.00"",""ConnectiCare Exchange Rate"":""8.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83615"",""DESC"":""LDH"",""Revenue Code"":""301"",""Hospital Charge"":""145.3"",""Minimum Rate"":""7.66"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.57"",""Aetna Rate"":""17.94"",""Anthem HMO Rate"":""7.66"",""Anthem PPO Rate"":""7.66"",""CIGNA Rate"":""18.03"",""ConnectiCare Commercial Rate"":""25.71"",""ConnectiCare Exchange Rate"":""8.20"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84075"",""DESC"":""ALKALINE PHOSPHATASE"",""Revenue Code"":""301"",""Hospital Charge"":""113.6"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.99"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""14.70"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84450"",""DESC"":""SGOT, AST"",""Revenue Code"":""301"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.35"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""7.35"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80170"",""DESC"":""GENTAMICIN, RANDOM"",""Revenue Code"":""301"",""Hospital Charge"":""394.71"",""Minimum Rate"":""20.80"",""Maximum Rate"":""69.75"",""Self-Pay Rate"":""69.47"",""Aetna Rate"":""48.68"",""Anthem HMO Rate"":""20.80"",""Anthem PPO Rate"":""20.80"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""69.75"",""ConnectiCare Exchange Rate"":""22.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82947"",""DESC"":""GLUCOSE, FINGER STICK"",""Revenue Code"":""300"",""Hospital Charge"":""94.52"",""Minimum Rate"":""4.97"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.64"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""22.32"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82947"",""DESC"":""GLUCOSE, BLOOD"",""Revenue Code"":""300"",""Hospital Charge"":""94.52"",""Minimum Rate"":""4.97"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.64"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""22.32"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83540"",""DESC"":""IRON"",""Revenue Code"":""301"",""Hospital Charge"":""156.02"",""Minimum Rate"":""8.21"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.46"",""Aetna Rate"":""19.24"",""Anthem HMO Rate"":""8.21"",""Anthem PPO Rate"":""8.21"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""9.19"",""ConnectiCare Exchange Rate"":""8.79"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83735"",""DESC"":""MAGNESIUM"",""Revenue Code"":""301"",""Hospital Charge"":""75"",""Minimum Rate"":""8.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""13.20"",""Aetna Rate"":""19.90"",""Anthem HMO Rate"":""8.50"",""Anthem PPO Rate"":""8.50"",""CIGNA Rate"":""20.19"",""ConnectiCare Commercial Rate"":""28.53"",""ConnectiCare Exchange Rate"":""9.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83930"",""DESC"":""OSMOLALITY"",""Revenue Code"":""301"",""Hospital Charge"":""159.01"",""Minimum Rate"":""8.39"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.99"",""Aetna Rate"":""19.64"",""Anthem HMO Rate"":""8.39"",""Anthem PPO Rate"":""8.39"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""18.76"",""ConnectiCare Exchange Rate"":""8.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84105"",""DESC"":""PHOSPHORUS, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""7.35"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84100"",""DESC"":""PHOSPHORUS, INORGANIC"",""Revenue Code"":""301"",""Hospital Charge"":""114.12"",""Minimum Rate"":""6.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.09"",""Aetna Rate"":""14.09"",""Anthem HMO Rate"":""6.02"",""Anthem PPO Rate"":""6.02"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""6.73"",""ConnectiCare Exchange Rate"":""6.44"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84133"",""DESC"":""POTASSIUM, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""103.51"",""Minimum Rate"":""5.45"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.22"",""Aetna Rate"":""12.78"",""Anthem HMO Rate"":""5.45"",""Anthem PPO Rate"":""5.45"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""12.24"",""ConnectiCare Exchange Rate"":""5.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82040"",""DESC"":""ALBUMIN"",""Revenue Code"":""301"",""Hospital Charge"":""109.74"",""Minimum Rate"":""5.79"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.31"",""Aetna Rate"":""13.54"",""Anthem HMO Rate"":""5.79"",""Anthem PPO Rate"":""5.79"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""7.03"",""ConnectiCare Exchange Rate"":""6.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84155"",""DESC"":""PROTEIN, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84157"",""DESC"":""PROTEIN, CSF"",""Revenue Code"":""301"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84156"",""DESC"":""PROTEIN, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84300"",""DESC"":""SODIUM, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""116.97"",""Minimum Rate"":""6.17"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.59"",""Aetna Rate"":""14.43"",""Anthem HMO Rate"":""6.17"",""Anthem PPO Rate"":""6.17"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.80"",""ConnectiCare Exchange Rate"":""6.60"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82438"",""DESC"":""SWEAT CHLORIDE - RIGHT ARM"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.09"",""Anthem HMO Rate"":""6.02"",""Anthem PPO Rate"":""6.02"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.86"",""ConnectiCare Exchange Rate"":""6.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82438"",""DESC"":""SWEAT CHLORIDE - LEFT ARM"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.09"",""Anthem HMO Rate"":""6.02"",""Anthem PPO Rate"":""6.02"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.86"",""ConnectiCare Exchange Rate"":""6.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80200"",""DESC"":""TOBRAMYCIN, RANDOM"",""Revenue Code"":""301"",""Hospital Charge"":""388.09"",""Minimum Rate"":""20.45"",""Maximum Rate"":""68.70"",""Self-Pay Rate"":""68.30"",""Aetna Rate"":""47.87"",""Anthem HMO Rate"":""20.45"",""Anthem PPO Rate"":""20.45"",""CIGNA Rate"":""48.36"",""ConnectiCare Commercial Rate"":""68.70"",""ConnectiCare Exchange Rate"":""21.90"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84520"",""DESC"":""UREA NITROGEN, BUN"",""Revenue Code"":""301"",""Hospital Charge"":""95.03"",""Minimum Rate"":""5.01"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.73"",""Aetna Rate"":""11.71"",""Anthem HMO Rate"":""5.01"",""Anthem PPO Rate"":""5.01"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""16.83"",""ConnectiCare Exchange Rate"":""5.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80198"",""DESC"":""THEOPHYLLINE"",""Revenue Code"":""301"",""Hospital Charge"":""340.7"",""Minimum Rate"":""17.95"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""59.96"",""Aetna Rate"":""42.03"",""Anthem HMO Rate"":""17.95"",""Anthem PPO Rate"":""17.95"",""CIGNA Rate"":""42.58"",""ConnectiCare Commercial Rate"":""20.08"",""ConnectiCare Exchange Rate"":""19.21"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84550"",""DESC"":""URIC ACID"",""Revenue Code"":""301"",""Hospital Charge"":""108.74"",""Minimum Rate"":""5.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.14"",""Aetna Rate"":""13.41"",""Anthem HMO Rate"":""5.73"",""Anthem PPO Rate"":""5.73"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""6.42"",""ConnectiCare Exchange Rate"":""6.14"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82945"",""DESC"":""GLUCOSE, CSF"",""Revenue Code"":""301"",""Hospital Charge"":""94.52"",""Minimum Rate"":""4.97"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.64"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""22.32"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80164"",""DESC"":""VALPROIC ACID, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""326.11"",""Minimum Rate"":""17.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.40"",""Aetna Rate"":""40.24"",""Anthem HMO Rate"":""17.20"",""Anthem PPO Rate"":""17.20"",""CIGNA Rate"":""40.43"",""ConnectiCare Commercial Rate"":""19.23"",""ConnectiCare Exchange Rate"":""18.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82550"",""DESC"":""CPK"",""Revenue Code"":""301"",""Hospital Charge"":""156.88"",""Minimum Rate"":""8.26"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.61"",""Aetna Rate"":""19.34"",""Anthem HMO Rate"":""8.26"",""Anthem PPO Rate"":""8.26"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""9.25"",""ConnectiCare Exchange Rate"":""8.84"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82553"",""DESC"":""CKMB"",""Revenue Code"":""301"",""Hospital Charge"":""277.99"",""Minimum Rate"":""14.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""48.93"",""Aetna Rate"":""34.29"",""Anthem HMO Rate"":""14.65"",""Anthem PPO Rate"":""14.65"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""16.40"",""ConnectiCare Exchange Rate"":""15.69"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT FIRST 2 HOURS"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT 3RD HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT-FIRST 2 HOURS"",""Revenue Code"":""300"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-3RD HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-4TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT -FIRST 2 HOURS"",""Revenue Code"":""300"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT -3RD HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT -4TH HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT -5TH HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT - FIRST 2 HOURS"",""Revenue Code"":""300"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT - 3RD HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT - 4TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT - 5TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT - 6TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82009"",""DESC"":""ACETONE"",""Revenue Code"":""301"",""Hospital Charge"":""108.74"",""Minimum Rate"":""5.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.14"",""Aetna Rate"":""13.41"",""Anthem HMO Rate"":""5.73"",""Anthem PPO Rate"":""5.73"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""12.84"",""ConnectiCare Exchange Rate"":""6.14"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82533"",""DESC"":""CORTISOL"",""Revenue Code"":""301"",""Hospital Charge"":""330.44"",""Minimum Rate"":""20.68"",""Maximum Rate"":""92.56"",""Self-Pay Rate"":""58.16"",""Aetna Rate"":""48.42"",""Anthem HMO Rate"":""20.68"",""Anthem PPO Rate"":""20.68"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""92.56"",""ConnectiCare Exchange Rate"":""22.13"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80190"",""DESC"":""PROCAINAMIDE"",""Revenue Code"":""301"",""Hospital Charge"":""403.19"",""Minimum Rate"":""21.26"",""Maximum Rate"":""70.96"",""Self-Pay Rate"":""70.96"",""Aetna Rate"":""49.76"",""Anthem HMO Rate"":""21.26"",""Anthem PPO Rate"":""21.26"",""CIGNA Rate"":""50.54"",""ConnectiCare Commercial Rate"":""69.00"",""ConnectiCare Exchange Rate"":""66.00"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84439"",""DESC"":""T4, FREE"",""Revenue Code"":""301"",""Hospital Charge"":""98.71"",""Minimum Rate"":""11.45"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""17.37"",""Aetna Rate"":""26.78"",""Anthem HMO Rate"":""11.45"",""Anthem PPO Rate"":""11.45"",""CIGNA Rate"":""27.44"",""ConnectiCare Commercial Rate"":""25.60"",""ConnectiCare Exchange Rate"":""12.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84478"",""DESC"":""TRIGLYCERIDES"",""Revenue Code"":""301"",""Hospital Charge"":""138.55"",""Minimum Rate"":""7.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""24.38"",""Aetna Rate"":""17.09"",""Anthem HMO Rate"":""7.29"",""Anthem PPO Rate"":""7.29"",""CIGNA Rate"":""17.33"",""ConnectiCare Commercial Rate"":""32.60"",""ConnectiCare Exchange Rate"":""7.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84478"",""DESC"":""TRIGLYCERIDE, FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""138.55"",""Minimum Rate"":""7.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""24.38"",""Aetna Rate"":""17.09"",""Anthem HMO Rate"":""7.29"",""Anthem PPO Rate"":""7.29"",""CIGNA Rate"":""17.33"",""ConnectiCare Commercial Rate"":""32.60"",""ConnectiCare Exchange Rate"":""7.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80178"",""DESC"":""LITHIUM"",""Revenue Code"":""301"",""Hospital Charge"":""159.01"",""Minimum Rate"":""8.39"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.99"",""Aetna Rate"":""19.64"",""Anthem HMO Rate"":""8.39"",""Anthem PPO Rate"":""8.39"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""9.38"",""ConnectiCare Exchange Rate"":""8.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83718"",""DESC"":""HDL"",""Revenue Code"":""300"",""Hospital Charge"":""160"",""Minimum Rate"":""10.39"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""28.16"",""Aetna Rate"":""24.32"",""Anthem HMO Rate"":""10.39"",""Anthem PPO Rate"":""10.39"",""CIGNA Rate"":""24.56"",""ConnectiCare Commercial Rate"":""11.64"",""ConnectiCare Exchange Rate"":""11.13"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83605"",""DESC"":""LACTATE"",""Revenue Code"":""301"",""Hospital Charge"":""257.15"",""Minimum Rate"":""13.55"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""45.26"",""Aetna Rate"":""31.72"",""Anthem HMO Rate"":""13.55"",""Anthem PPO Rate"":""13.55"",""CIGNA Rate"":""31.77"",""ConnectiCare Commercial Rate"":""45.51"",""ConnectiCare Exchange Rate"":""14.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""LACTOSE TOLERANCE TEST"",""Revenue Code"":""300"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82977"",""DESC"":""GAMMA GT"",""Revenue Code"":""301"",""Hospital Charge"":""168.48"",""Minimum Rate"":""8.87"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""29.65"",""Aetna Rate"":""20.77"",""Anthem HMO Rate"":""8.87"",""Anthem PPO Rate"":""8.87"",""CIGNA Rate"":""21.65"",""ConnectiCare Commercial Rate"":""10.22"",""ConnectiCare Exchange Rate"":""9.78"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83625"",""DESC"":""LDH ISOENZYMES"",""Revenue Code"":""301"",""Hospital Charge"":""308.16"",""Minimum Rate"":""16.24"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""54.24"",""Aetna Rate"":""38.01"",""Anthem HMO Rate"":""16.24"",""Anthem PPO Rate"":""16.24"",""CIGNA Rate"":""38.23"",""ConnectiCare Commercial Rate"":""36.34"",""ConnectiCare Exchange Rate"":""17.38"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83625"",""DESC"":""LDH ISOENZYME, CSF"",""Revenue Code"":""300"",""Hospital Charge"":""308.16"",""Minimum Rate"":""16.24"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""54.24"",""Aetna Rate"":""38.01"",""Anthem HMO Rate"":""16.24"",""Anthem PPO Rate"":""16.24"",""CIGNA Rate"":""38.23"",""ConnectiCare Commercial Rate"":""36.34"",""ConnectiCare Exchange Rate"":""17.38"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80194"",""DESC"":""QUINIDINE"",""Revenue Code"":""301"",""Hospital Charge"":""351.43"",""Minimum Rate"":""18.52"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""61.85"",""Aetna Rate"":""43.34"",""Anthem HMO Rate"":""18.52"",""Anthem PPO Rate"":""18.52"",""CIGNA Rate"":""44.03"",""ConnectiCare Commercial Rate"":""20.73"",""ConnectiCare Exchange Rate"":""19.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84480"",""DESC"":""T3, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""341.33"",""Minimum Rate"":""17.99"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""60.07"",""Aetna Rate"":""42.11"",""Anthem HMO Rate"":""17.99"",""Anthem PPO Rate"":""17.99"",""CIGNA Rate"":""42.58"",""ConnectiCare Commercial Rate"":""20.14"",""ConnectiCare Exchange Rate"":""19.26"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84443"",""DESC"":""TSH"",""Revenue Code"":""300"",""Hospital Charge"":""404.44"",""Minimum Rate"":""21.32"",""Maximum Rate"":""71.18"",""Self-Pay Rate"":""71.18"",""Aetna Rate"":""49.89"",""Anthem HMO Rate"":""21.32"",""Anthem PPO Rate"":""21.32"",""CIGNA Rate"":""50.54"",""ConnectiCare Commercial Rate"":""47.72"",""ConnectiCare Exchange Rate"":""22.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83690"",""DESC"":""LIPASE"",""Revenue Code"":""301"",""Hospital Charge"":""165.74"",""Minimum Rate"":""8.74"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""29.17"",""Aetna Rate"":""20.45"",""Anthem HMO Rate"":""8.74"",""Anthem PPO Rate"":""8.74"",""CIGNA Rate"":""20.95"",""ConnectiCare Commercial Rate"":""9.79"",""ConnectiCare Exchange Rate"":""9.36"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84460"",""DESC"":""SGPT, ALT"",""Revenue Code"":""301"",""Hospital Charge"":""127.45"",""Minimum Rate"":""6.71"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.43"",""Aetna Rate"":""15.73"",""Anthem HMO Rate"":""6.71"",""Anthem PPO Rate"":""6.71"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""7.52"",""ConnectiCare Exchange Rate"":""7.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82378"",""DESC"":""CEA, CSF"",""Revenue Code"":""301"",""Hospital Charge"":""456.69"",""Minimum Rate"":""24.07"",""Maximum Rate"":""80.38"",""Self-Pay Rate"":""80.38"",""Aetna Rate"":""56.35"",""Anthem HMO Rate"":""24.07"",""Anthem PPO Rate"":""24.07"",""CIGNA Rate"":""57.04"",""ConnectiCare Commercial Rate"":""53.84"",""ConnectiCare Exchange Rate"":""25.75"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82378"",""DESC"":""CEA"",""Revenue Code"":""301"",""Hospital Charge"":""456.69"",""Minimum Rate"":""24.07"",""Maximum Rate"":""80.38"",""Self-Pay Rate"":""80.38"",""Aetna Rate"":""56.35"",""Anthem HMO Rate"":""24.07"",""Anthem PPO Rate"":""24.07"",""CIGNA Rate"":""57.04"",""ConnectiCare Commercial Rate"":""53.84"",""ConnectiCare Exchange Rate"":""25.75"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80170"",""DESC"":""GENTAMICIN, PEAK"",""Revenue Code"":""301"",""Hospital Charge"":""394.71"",""Minimum Rate"":""20.80"",""Maximum Rate"":""69.75"",""Self-Pay Rate"":""69.47"",""Aetna Rate"":""48.68"",""Anthem HMO Rate"":""20.80"",""Anthem PPO Rate"":""20.80"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""69.75"",""ConnectiCare Exchange Rate"":""22.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80200"",""DESC"":""TOBRAMYCIN, TROUGH"",""Revenue Code"":""301"",""Hospital Charge"":""388.09"",""Minimum Rate"":""20.45"",""Maximum Rate"":""68.70"",""Self-Pay Rate"":""68.30"",""Aetna Rate"":""47.87"",""Anthem HMO Rate"":""20.45"",""Anthem PPO Rate"":""20.45"",""CIGNA Rate"":""48.36"",""ConnectiCare Commercial Rate"":""68.70"",""ConnectiCare Exchange Rate"":""21.90"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80200"",""DESC"":""TOBRAMYCIN, PEAK"",""Revenue Code"":""301"",""Hospital Charge"":""388.09"",""Minimum Rate"":""20.45"",""Maximum Rate"":""68.70"",""Self-Pay Rate"":""68.30"",""Aetna Rate"":""47.87"",""Anthem HMO Rate"":""20.45"",""Anthem PPO Rate"":""20.45"",""CIGNA Rate"":""48.36"",""ConnectiCare Commercial Rate"":""68.70"",""ConnectiCare Exchange Rate"":""21.90"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80202"",""DESC"":""VANCOMYCIN, TROUGH"",""Revenue Code"":""301"",""Hospital Charge"":""326.11"",""Minimum Rate"":""17.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.40"",""Aetna Rate"":""40.24"",""Anthem HMO Rate"":""17.20"",""Anthem PPO Rate"":""17.20"",""CIGNA Rate"":""40.43"",""ConnectiCare Commercial Rate"":""57.69"",""ConnectiCare Exchange Rate"":""18.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80202"",""DESC"":""VANCOMYCIN, PEAK"",""Revenue Code"":""301"",""Hospital Charge"":""326.11"",""Minimum Rate"":""17.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.40"",""Aetna Rate"":""40.24"",""Anthem HMO Rate"":""17.20"",""Anthem PPO Rate"":""17.20"",""CIGNA Rate"":""40.43"",""ConnectiCare Commercial Rate"":""57.69"",""ConnectiCare Exchange Rate"":""18.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82533"",""DESC"":""CORTISOL, POST CORTROSYN"",""Revenue Code"":""301"",""Hospital Charge"":""330.44"",""Minimum Rate"":""20.68"",""Maximum Rate"":""92.56"",""Self-Pay Rate"":""58.16"",""Aetna Rate"":""48.42"",""Anthem HMO Rate"":""20.68"",""Anthem PPO Rate"":""20.68"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""92.56"",""ConnectiCare Exchange Rate"":""22.13"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82533"",""DESC"":""CORTISOL, PRE-CORTROSYN"",""Revenue Code"":""301"",""Hospital Charge"":""331.44"",""Minimum Rate"":""20.68"",""Maximum Rate"":""92.56"",""Self-Pay Rate"":""58.33"",""Aetna Rate"":""48.42"",""Anthem HMO Rate"":""20.68"",""Anthem PPO Rate"":""20.68"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""92.56"",""ConnectiCare Exchange Rate"":""22.13"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80438"",""DESC"":""TRH STIMULATION TEST"",""Revenue Code"":""300"",""Hospital Charge"":""1213.17"",""Minimum Rate"":""63.96"",""Maximum Rate"":""213.52"",""Self-Pay Rate"":""213.52"",""Aetna Rate"":""149.67"",""Anthem HMO Rate"":""63.96"",""Anthem PPO Rate"":""63.96"",""CIGNA Rate"":""144.35"",""ConnectiCare Commercial Rate"":""71.58"",""ConnectiCare Exchange Rate"":""68.46"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84540"",""DESC"":""UREA - RANDOM UR"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84481"",""DESC"":""T3, FREE"",""Revenue Code"":""301"",""Hospital Charge"":""186.08"",""Minimum Rate"":""21.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""32.75"",""Aetna Rate"":""50.32"",""Anthem HMO Rate"":""21.50"",""Anthem PPO Rate"":""21.50"",""CIGNA Rate"":""51.25"",""ConnectiCare Commercial Rate"":""24.06"",""ConnectiCare Exchange Rate"":""23.01"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82670"",""DESC"":""ESTRADIOL"",""Revenue Code"":""301"",""Hospital Charge"":""672.68"",""Minimum Rate"":""35.45"",""Maximum Rate"":""118.39"",""Self-Pay Rate"":""118.39"",""Aetna Rate"":""82.99"",""Anthem HMO Rate"":""35.45"",""Anthem PPO Rate"":""35.45"",""CIGNA Rate"":""83.74"",""ConnectiCare Commercial Rate"":""79.32"",""ConnectiCare Exchange Rate"":""37.94"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83002"",""DESC"":""LH (LUTEINIZING HORMONE)"",""Revenue Code"":""301"",""Hospital Charge"":""445.95"",""Minimum Rate"":""23.50"",""Maximum Rate"":""78.49"",""Self-Pay Rate"":""78.49"",""Aetna Rate"":""55.01"",""Anthem HMO Rate"":""23.50"",""Anthem PPO Rate"":""23.50"",""CIGNA Rate"":""55.56"",""ConnectiCare Commercial Rate"":""52.58"",""ConnectiCare Exchange Rate"":""25.15"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84144"",""DESC"":""PROGESTERONE"",""Revenue Code"":""301"",""Hospital Charge"":""502.2"",""Minimum Rate"":""26.47"",""Maximum Rate"":""88.39"",""Self-Pay Rate"":""88.39"",""Aetna Rate"":""61.96"",""Anthem HMO Rate"":""26.47"",""Anthem PPO Rate"":""26.47"",""CIGNA Rate"":""62.81"",""ConnectiCare Commercial Rate"":""29.62"",""ConnectiCare Exchange Rate"":""28.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83036"",""DESC"":""HGB (FINGERSTICK) A1C-SUNRISE"",""Revenue Code"":""301"",""Hospital Charge"":""106.25"",""Minimum Rate"":""12.31"",""Maximum Rate"":""68.95"",""Self-Pay Rate"":""18.70"",""Aetna Rate"":""28.82"",""Anthem HMO Rate"":""12.31"",""Anthem PPO Rate"":""12.31"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""68.95"",""ConnectiCare Exchange Rate"":""13.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83930"",""DESC"":""OSMOLALITY, FECAL OSM"",""Revenue Code"":""301"",""Hospital Charge"":""159.01"",""Minimum Rate"":""8.39"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.99"",""Aetna Rate"":""19.64"",""Anthem HMO Rate"":""8.39"",""Anthem PPO Rate"":""8.39"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""18.76"",""ConnectiCare Exchange Rate"":""8.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84300"",""DESC"":""OSMOLALITY, FECAL SODIUM"",""Revenue Code"":""301"",""Hospital Charge"":""116.97"",""Minimum Rate"":""6.17"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.59"",""Aetna Rate"":""14.43"",""Anthem HMO Rate"":""6.17"",""Anthem PPO Rate"":""6.17"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.80"",""ConnectiCare Exchange Rate"":""6.60"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82728"",""DESC"":""FERRITIN"",""Revenue Code"":""301"",""Hospital Charge"":""327.99"",""Minimum Rate"":""17.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.73"",""Aetna Rate"":""40.45"",""Anthem HMO Rate"":""17.29"",""Anthem PPO Rate"":""17.29"",""CIGNA Rate"":""41.13"",""ConnectiCare Commercial Rate"":""19.35"",""ConnectiCare Exchange Rate"":""18.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81050"",""DESC"":""URINE VOLUME MEASUREMENT"",""Revenue Code"":""307"",""Hospital Charge"":""72.09"",""Minimum Rate"":""3.80"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""12.69"",""Aetna Rate"":""8.91"",""Anthem HMO Rate"":""3.80"",""Anthem PPO Rate"":""3.80"",""CIGNA Rate"":""8.65"",""ConnectiCare Commercial Rate"":""8.54"",""ConnectiCare Exchange Rate"":""4.08"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82570"",""DESC"":""NITROGEN, TOTAL, URINE-CREATIN"",""Revenue Code"":""301"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""29.40"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84540"",""DESC"":""NITROGEN, TOTAL, URINE-UREA"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":" "6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84560"",""DESC"":""NITROGEN, TOTAL, URINE-URIC AC"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80156"",""DESC"":""TEGRETOL"",""Revenue Code"":""301"",""Hospital Charge"":""350.44"",""Minimum Rate"":""18.48"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""61.68"",""Aetna Rate"":""43.24"",""Anthem HMO Rate"":""18.48"",""Anthem PPO Rate"":""18.48"",""CIGNA Rate"":""44.03"",""ConnectiCare Commercial Rate"":""20.68"",""ConnectiCare Exchange Rate"":""19.78"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82945"",""DESC"":""GLUCOSE, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""94.52"",""Minimum Rate"":""4.97"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.64"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""22.32"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83615"",""DESC"":""LDH, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""145.3"",""Minimum Rate"":""7.66"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.57"",""Aetna Rate"":""17.94"",""Anthem HMO Rate"":""7.66"",""Anthem PPO Rate"":""7.66"",""CIGNA Rate"":""18.03"",""ConnectiCare Commercial Rate"":""25.71"",""ConnectiCare Exchange Rate"":""8.20"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82150"",""DESC"":""AMYLASE, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""156.13"",""Minimum Rate"":""8.22"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.48"",""Aetna Rate"":""19.26"",""Anthem HMO Rate"":""8.22"",""Anthem PPO Rate"":""8.22"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""46.00"",""ConnectiCare Exchange Rate"":""8.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84155"",""DESC"":""PROTEIN, BODY FLUID"",""Revenue Code"":""300"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84560"",""DESC"":""URIC ACID, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84560"",""DESC"":""URIC ACID, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84540"",""DESC"":""UREA NITROGEN, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80202"",""DESC"":""VANCOMYCIN, RANDOM"",""Revenue Code"":""301"",""Hospital Charge"":""326.11"",""Minimum Rate"":""17.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.40"",""Aetna Rate"":""40.24"",""Anthem HMO Rate"":""17.20"",""Anthem PPO Rate"":""17.20"",""CIGNA Rate"":""40.43"",""ConnectiCare Commercial Rate"":""57.69"",""ConnectiCare Exchange Rate"":""18.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""85810"",""DESC"":""VISCOSITY"",""Revenue Code"":""305"",""Hospital Charge"":""281.09"",""Minimum Rate"":""14.80"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""49.47"",""Aetna Rate"":""34.69"",""Anthem HMO Rate"":""14.80"",""Anthem PPO Rate"":""14.80"",""CIGNA Rate"":""35.37"",""ConnectiCare Commercial Rate"":""33.14"",""ConnectiCare Exchange Rate"":""15.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84302"",""DESC"":""SODIUM, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""116.97"",""Minimum Rate"":""6.17"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.59"",""Aetna Rate"":""14.43"",""Anthem HMO Rate"":""6.17"",""Anthem PPO Rate"":""6.17"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""6.90"",""ConnectiCare Exchange Rate"":""6.60"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""CANNABINOIDS, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""COCAINE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82950"",""DESC"":""GLUCOSE SCREEN"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""6.74"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84133"",""DESC"":""POTASSIUM, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""103.51"",""Minimum Rate"":""5.45"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.22"",""Aetna Rate"":""12.78"",""Anthem HMO Rate"":""5.45"",""Anthem PPO Rate"":""5.45"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""12.24"",""ConnectiCare Exchange Rate"":""5.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""58323"",""DESC"":""SPERM WASHING"",""Revenue Code"":""301"",""Hospital Charge"":""805"",""Minimum Rate"":""68.00"",""Maximum Rate"":""141.68"",""Self-Pay Rate"":""141.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86706"",""DESC"":""HEPATITIS B SURFACE ANTIBODY"",""Revenue Code"":""302"",""Hospital Charge"":""258.52"",""Minimum Rate"":""13.62"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""45.50"",""Aetna Rate"":""31.91"",""Anthem HMO Rate"":""13.62"",""Anthem PPO Rate"":""13.62"",""CIGNA Rate"":""32.48"",""ConnectiCare Commercial Rate"":""30.50"",""ConnectiCare Exchange Rate"":""14.59"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""87340"",""DESC"":""HEPATITIS B SURFCE ANTIGN SCHS"",""Revenue Code"":""300"",""Hospital Charge"":""105.45"",""Minimum Rate"":""13.11"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""18.56"",""Aetna Rate"":""30.67"",""Anthem HMO Rate"":""13.11"",""Anthem PPO Rate"":""13.11"",""CIGNA Rate"":""31.06"",""ConnectiCare Commercial Rate"":""29.32"",""ConnectiCare Exchange Rate"":""14.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86706"",""DESC"":""SCHS HEPAT. B SURFACE ANTIBODY"",""Revenue Code"":""302"",""Hospital Charge"":""258.52"",""Minimum Rate"":""13.62"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""45.50"",""Aetna Rate"":""31.91"",""Anthem HMO Rate"":""13.62"",""Anthem PPO Rate"":""13.62"",""CIGNA Rate"":""32.48"",""ConnectiCare Commercial Rate"":""30.50"",""ConnectiCare Exchange Rate"":""14.59"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82570"",""DESC"":""CREATININE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""124.59"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.93"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""29.40"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""89321"",""DESC"":""SEMEN EXAM, POST VASECTOMY"",""Revenue Code"":""309"",""Hospital Charge"":""290.08"",""Minimum Rate"":""15.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""51.05"",""Aetna Rate"":""35.80"",""Anthem HMO Rate"":""15.29"",""Anthem PPO Rate"":""15.29"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""51.33"",""ConnectiCare Exchange Rate"":""16.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83663"",""DESC"":""FETAL LUNG MATURITY, FLM"",""Revenue Code"":""301"",""Hospital Charge"":""455.56"",""Minimum Rate"":""24.00"",""Maximum Rate"":""80.18"",""Self-Pay Rate"":""80.18"",""Aetna Rate"":""56.18"",""Anthem HMO Rate"":""24.00"",""Anthem PPO Rate"":""24.00"",""CIGNA Rate"":""57.04"",""ConnectiCare Commercial Rate"":""26.85"",""ConnectiCare Exchange Rate"":""25.69"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""AMPHETAMINES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""BARBITURATES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""BENZODIAZEPINES,URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""OPIATES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""PCP, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80101"",""DESC"":""METHADONE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""26.07"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.07"",""Anthem PPO Rate"":""26.07"",""CIGNA Rate"":""57.74"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84295"",""DESC"":""SODIUM, NA"",""Revenue Code"":""301"",""Hospital Charge"":""115.86"",""Minimum Rate"":""6.11"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.39"",""Aetna Rate"":""14.28"",""Anthem HMO Rate"":""6.11"",""Anthem PPO Rate"":""6.11"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""20.49"",""ConnectiCare Exchange Rate"":""6.53"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84132"",""DESC"":""POTASSIUM, K"",""Revenue Code"":""301"",""Hospital Charge"":""110.63"",""Minimum Rate"":""5.83"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.47"",""Aetna Rate"":""13.65"",""Anthem HMO Rate"":""5.83"",""Anthem PPO Rate"":""5.83"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""19.59"",""ConnectiCare Exchange Rate"":""6.25"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82746"",""DESC"":""FOLATE"",""Revenue Code"":""301"",""Hospital Charge"":""354.05"",""Minimum Rate"":""18.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""62.31"",""Aetna Rate"":""43.66"",""Anthem HMO Rate"":""18.65"",""Anthem PPO Rate"":""18.65"",""CIGNA Rate"":""44.03"",""ConnectiCare Commercial Rate"":""20.87"",""ConnectiCare Exchange Rate"":""19.97"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82607"",""DESC"":""VITAMIN B12"",""Revenue Code"":""301"",""Hospital Charge"":""362.9"",""Minimum Rate"":""19.12"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""63.87"",""Aetna Rate"":""44.77"",""Anthem HMO Rate"":""19.12"",""Anthem PPO Rate"":""19.12"",""CIGNA Rate"":""45.46"",""ConnectiCare Commercial Rate"":""42.80"",""ConnectiCare Exchange Rate"":""20.47"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""89321"",""DESC"":""SPERM COUNT, URINE POST EJAC"",""Revenue Code"":""300"",""Hospital Charge"":""290.08"",""Minimum Rate"":""15.29"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""51.05"",""Aetna Rate"":""35.80"",""Anthem HMO Rate"":""15.29"",""Anthem PPO Rate"":""15.29"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""51.33"",""ConnectiCare Exchange Rate"":""16.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84484"",""DESC"":""TROPONIN I"",""Revenue Code"":""301"",""Hospital Charge"":""236.95"",""Minimum Rate"":""12.49"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""41.70"",""Aetna Rate"":""29.23"",""Anthem HMO Rate"":""12.49"",""Anthem PPO Rate"":""12.49"",""CIGNA Rate"":""29.59"",""ConnectiCare Commercial Rate"":""28.68"",""ConnectiCare Exchange Rate"":""13.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT FASTING"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT-1-2 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""GTT- 1ST HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-2ND HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-3RD HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-4TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-5TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""GTT-6TH HOUR"",""Revenue Code"":""300"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""LTT FASTING"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82951"",""DESC"":""LTT 1-2 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""309.9"",""Minimum Rate"":""16.33"",""Maximum Rate"":""182.70"",""Self-Pay Rate"":""54.54"",""Aetna Rate"":""38.24"",""Anthem HMO Rate"":""16.33"",""Anthem PPO Rate"":""16.33"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""182.70"",""ConnectiCare Exchange Rate"":""17.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""LTT 1 1-2 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82952"",""DESC"":""LTT 2ND HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""94.28"",""Minimum Rate"":""4.97"",""Maximum Rate"":""94.69"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":""11.65"",""Anthem HMO Rate"":""4.97"",""Anthem PPO Rate"":""4.97"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""94.69"",""ConnectiCare Exchange Rate"":""5.32"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83519"",""DESC"":""LSD, URINE"",""Revenue Code"":""300"",""Hospital Charge"":""283.58"",""Minimum Rate"":""14.94"",""Maximum Rate"":""359.72"",""Self-Pay Rate"":""49.91"",""Aetna Rate"":""34.99"",""Anthem HMO Rate"":""14.94"",""Anthem PPO Rate"":""14.94"",""CIGNA Rate"":""40.43"",""ConnectiCare Commercial Rate"":""359.72"",""ConnectiCare Exchange Rate"":""20.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80170"",""DESC"":""GENTAMICIN, TROUGH"",""Revenue Code"":""301"",""Hospital Charge"":""394.71"",""Minimum Rate"":""20.80"",""Maximum Rate"":""69.75"",""Self-Pay Rate"":""69.47"",""Aetna Rate"":""48.68"",""Anthem HMO Rate"":""20.80"",""Anthem PPO Rate"":""20.80"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""69.75"",""ConnectiCare Exchange Rate"":""22.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83874"",""DESC"":""MYOGLOBIN BLOOD"",""Revenue Code"":""301"",""Hospital Charge"":""310.9"",""Minimum Rate"":""16.38"",""Maximum Rate"":""73.36"",""Self-Pay Rate"":""54.72"",""Aetna Rate"":""38.35"",""Anthem HMO Rate"":""16.38"",""Anthem PPO Rate"":""16.38"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""73.36"",""ConnectiCare Exchange Rate"":""17.55"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82523"",""DESC"":""PYRILINKS D-FREE-CREATININE"",""Revenue Code"":""300"",""Hospital Charge"":""449.95"",""Minimum Rate"":""23.71"",""Maximum Rate"":""79.59"",""Self-Pay Rate"":""79.19"",""Aetna Rate"":""55.50"",""Anthem HMO Rate"":""23.71"",""Anthem PPO Rate"":""23.71"",""CIGNA Rate"":""56.30"",""ConnectiCare Commercial Rate"":""79.59"",""ConnectiCare Exchange Rate"":""25.38"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81025"",""DESC"":""URINE FOR HCG (PREGNANCY)"",""Revenue Code"":""307"",""Hospital Charge"":""186.47"",""Minimum Rate"":""8.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""32.82"",""Aetna Rate"":""18.79"",""Anthem HMO Rate"":""8.03"",""Anthem PPO Rate"":""8.03"",""CIGNA Rate"":""18.76"",""ConnectiCare Commercial Rate"":""59.40"",""ConnectiCare Exchange Rate"":""9.47"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82731"",""DESC"":""FETAL FIBRONECTIN (FFN),RAPID"",""Revenue Code"":""301"",""Hospital Charge"":""1550.75"",""Minimum Rate"":""68.00"",""Maximum Rate"":""272.93"",""Self-Pay Rate"":""272.93"",""Aetna Rate"":""191.29"",""Anthem HMO Rate"":""81.72"",""Anthem PPO Rate"":""81.72"",""CIGNA Rate"":""193.46"",""ConnectiCare Commercial Rate"":""91.45"",""ConnectiCare Exchange Rate"":""87.47"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82248"",""DESC"":""BILIRUBIN,DIRECT"",""Revenue Code"":""300"",""Hospital Charge"":""120.85"",""Minimum Rate"":""6.37"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.27"",""Aetna Rate"":""14.92"",""Anthem HMO Rate"":""6.37"",""Anthem PPO Rate"":""6.37"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""14.24"",""ConnectiCare Exchange Rate"":""6.81"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82042"",""DESC"":""ALBUMIN, BODY FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""65"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""11.44"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""26.85"",""ConnectiCare Exchange Rate"":""8.56"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80051"",""DESC"":""ELECTROLYTE PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""168.99"",""Minimum Rate"":""8.90"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""29.74"",""Aetna Rate"":""20.83"",""Anthem HMO Rate"":""8.90"",""Anthem PPO Rate"":""8.90"",""CIGNA Rate"":""20.95"",""ConnectiCare Commercial Rate"":""9.96"",""ConnectiCare Exchange Rate"":""9.53"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80048"",""DESC"":""BASIC METABOLIC PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""203.77"",""Minimum Rate"":""10.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""35.86"",""Aetna Rate"":""25.15"",""Anthem HMO Rate"":""10.73"",""Anthem PPO Rate"":""10.73"",""CIGNA Rate"":""25.28"",""ConnectiCare Commercial Rate"":""24.02"",""ConnectiCare Exchange Rate"":""11.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80053"",""DESC"":""COMPREHENSIVE METABOLIC PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""97.8"",""Minimum Rate"":""13.41"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""17.21"",""Aetna Rate"":""31.40"",""Anthem HMO Rate"":""13.41"",""Anthem PPO Rate"":""13.41"",""CIGNA Rate"":""31.77"",""ConnectiCare Commercial Rate"":""30.00"",""ConnectiCare Exchange Rate"":""14.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80076"",""DESC"":""HEPATIC FUNCTION PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""89.16"",""Minimum Rate"":""10.37"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.69"",""Aetna Rate"":""24.28"",""Anthem HMO Rate"":""10.37"",""Anthem PPO Rate"":""10.37"",""CIGNA Rate"":""24.56"",""ConnectiCare Commercial Rate"":""11.60"",""ConnectiCare Exchange Rate"":""11.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80069"",""DESC"":""RENAL FUNCTION PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""208.9"",""Minimum Rate"":""11.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""36.77"",""Aetna Rate"":""25.78"",""Anthem HMO Rate"":""11.02"",""Anthem PPO Rate"":""11.02"",""CIGNA Rate"":""25.98"",""ConnectiCare Commercial Rate"":""12.33"",""ConnectiCare Exchange Rate"":""11.79"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80061"",""DESC"":""LIPID PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""322.5"",""Minimum Rate"":""17.00"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.76"",""Aetna Rate"":""39.79"",""Anthem HMO Rate"":""17.00"",""Anthem PPO Rate"":""17.00"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""57.03"",""ConnectiCare Exchange Rate"":""18.18"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80074"",""DESC"":""ACUTE HEPATITIS"",""Revenue Code"":""301"",""Hospital Charge"":""1146.45"",""Minimum Rate"":""60.43"",""Maximum Rate"":""201.78"",""Self-Pay Rate"":""201.78"",""Aetna Rate"":""141.44"",""Anthem HMO Rate"":""60.43"",""Anthem PPO Rate"":""60.43"",""CIGNA Rate"":""137.16"",""ConnectiCare Commercial Rate"":""67.63"",""ConnectiCare Exchange Rate"":""64.69"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80050"",""DESC"":""GENERAL HEALTH-PANEL"",""Revenue Code"":""300"",""Hospital Charge"":""622.55"",""Minimum Rate"":""37.69"",""Maximum Rate"":""109.57"",""Self-Pay Rate"":""109.57"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""37.69"",""Anthem PPO Rate"":""37.69"",""CIGNA Rate"":""83.74"",""ConnectiCare Commercial Rate"":""60.77"",""ConnectiCare Exchange Rate"":""58.13"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83880"",""DESC"":""BNAT PEPTIDE CARDIAC"",""Revenue Code"":""301"",""Hospital Charge"":""817.22"",""Minimum Rate"":""43.07"",""Maximum Rate"":""143.83"",""Self-Pay Rate"":""143.83"",""Aetna Rate"":""100.82"",""Anthem HMO Rate"":""43.07"",""Anthem PPO Rate"":""43.07"",""CIGNA Rate"":""101.79"",""ConnectiCare Commercial Rate"":""48.19"",""ConnectiCare Exchange Rate"":""46.09"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82340"",""DESC"":""CALCIUM, URINE,"",""Revenue Code"":""301"",""Hospital Charge"":""145.3"",""Minimum Rate"":""7.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.57"",""Aetna Rate"":""17.92"",""Anthem HMO Rate"":""7.65"",""Anthem PPO Rate"":""7.65"",""CIGNA Rate"":""18.03"",""ConnectiCare Commercial Rate"":""25.68"",""ConnectiCare Exchange Rate"":""8.18"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82575"",""DESC"":""CREATININE CLEARANCE,"",""Revenue Code"":""301"",""Hospital Charge"":""227.47"",""Minimum Rate"":""11.99"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""40.03"",""Aetna Rate"":""28.06"",""Anthem HMO Rate"":""11.99"",""Anthem PPO Rate"":""11.99"",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""26.84"",""ConnectiCare Exchange Rate"":""12.84"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82150"",""DESC"":""AMYLASE, URINE,"",""Revenue Code"":""301"",""Hospital Charge"":""156.13"",""Minimum Rate"":""8.22"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.48"",""Aetna Rate"":""19.26"",""Anthem HMO Rate"":""8.22"",""Anthem PPO Rate"":""8.22"",""CIGNA Rate"":""19.48"",""ConnectiCare Commercial Rate"":""46.00"",""ConnectiCare Exchange Rate"":""8.80"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84156"",""DESC"":""PROTEIN, URINE,"",""Revenue Code"":""300"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84560"",""DESC"":""URIC ACID, URINE,"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84540"",""DESC"":""UREA NITROGEN, URINE,"",""Revenue Code"":""301"",""Hospital Charge"":""114.36"",""Minimum Rate"":""6.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.13"",""Aetna Rate"":""14.11"",""Anthem HMO Rate"":""6.03"",""Anthem PPO Rate"":""6.03"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""26.96"",""ConnectiCare Exchange Rate"":""6.45"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84153"",""DESC"":""PSA DIAGNOSTIC"",""Revenue Code"":""301"",""Hospital Charge"":""201.35"",""Minimum Rate"":""23.34"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""35.44"",""Aetna Rate"":""54.63"",""Anthem HMO Rate"":""23.34"",""Anthem PPO Rate"":""23.34"",""CIGNA Rate"":""55.56"",""ConnectiCare Commercial Rate"":""26.12"",""ConnectiCare Exchange Rate"":""24.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84157"",""DESC"":""PROTEIN, FLUID"",""Revenue Code"":""301"",""Hospital Charge"":""88.3"",""Minimum Rate"":""4.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""15.54"",""Aetna Rate"":""10.88"",""Anthem HMO Rate"":""4.65"",""Anthem PPO Rate"":""4.65"",""CIGNA Rate"":""10.82"",""ConnectiCare Commercial Rate"":""10.42"",""ConnectiCare Exchange Rate"":""4.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82330"",""DESC"":""CALCIUM, IONIZED"",""Revenue Code"":""301"",""Hospital Charge"":""280.22"",""Minimum Rate"":""14.77"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""49.32"",""Aetna Rate"":""34.56"",""Anthem HMO Rate"":""14.77"",""Anthem PPO Rate"":""14.77"",""CIGNA Rate"":""41.13"",""ConnectiCare Commercial Rate"":""38.82"",""ConnectiCare Exchange Rate"":""18.57"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83550"",""DESC"":""TIBC"",""Revenue Code"":""301"",""Hospital Charge"":""210.39"",""Minimum Rate"":""11.09"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""37.03"",""Aetna Rate"":""25.95"",""Anthem HMO Rate"":""11.09"",""Anthem PPO Rate"":""11.09"",""CIGNA Rate"":""25.98"",""ConnectiCare Commercial Rate"":""12.41"",""ConnectiCare Exchange Rate"":""11.87"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86140"",""DESC"":""C-REACTIVE PROTEIN"",""Revenue Code"":""302"",""Hospital Charge"":""132.23"",""Minimum Rate"":""6.56"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""23.27"",""Aetna Rate"":""15.37"",""Anthem HMO Rate"":""6.56"",""Anthem PPO Rate"":""6.56"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""14.70"",""ConnectiCare Exchange Rate"":""7.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83010"",""DESC"":""HAPTOGLOBIN"",""Revenue Code"":""301"",""Hospital Charge"":""302.93"",""Minimum Rate"":""15.96"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""53.32"",""Aetna Rate"":""37.37"",""Anthem HMO Rate"":""15.96"",""Anthem PPO Rate"":""15.96"",""CIGNA Rate"":""37.56"",""ConnectiCare Commercial Rate"":""35.72"",""ConnectiCare Exchange Rate"":""17.08"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86705"",""DESC"":""HEPATITIS B CORE ANTIBODY,IGM"",""Revenue Code"":""302"",""Hospital Charge"":""283.34"",""Minimum Rate"":""14.93"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""49.87"",""Aetna Rate"":""34.95"",""Anthem HMO Rate"":""14.93"",""Anthem PPO Rate"":""14.93"",""CIGNA Rate"":""35.37"",""ConnectiCare Commercial Rate"":""33.44"",""ConnectiCare Exchange Rate"":""15.99"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86160"",""DESC"":""COMPLEMENT C3"",""Revenue Code"":""302"",""Hospital Charge"":""289.07"",""Minimum Rate"":""15.23"",""Maximum Rate"":""119.21"",""Self-Pay Rate"":""50.88"",""Aetna Rate"":""35.67"",""Anthem HMO Rate"":""15.23"",""Anthem PPO Rate"":""15.23"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""119.21"",""ConnectiCare Exchange Rate"":""16.29"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83001"",""DESC"":""FSH"",""Revenue Code"":""301"",""Hospital Charge"":""447.45"",""Minimum Rate"":""23.57"",""Maximum Rate"":""78.75"",""Self-Pay Rate"":""78.75"",""Aetna Rate"":""55.20"",""Anthem HMO Rate"":""23.57"",""Anthem PPO Rate"":""23.57"",""CIGNA Rate"":""55.56"",""ConnectiCare Commercial Rate"":""52.76"",""ConnectiCare Exchange Rate"":""25.23"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84403"",""DESC"":""TESTOSTERONE, TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""223.09"",""Minimum Rate"":""32.76"",""Maximum Rate"":""77.23"",""Self-Pay Rate"":""39.26"",""Aetna Rate"":""76.70"",""Anthem HMO Rate"":""32.76"",""Anthem PPO Rate"":""32.76"",""CIGNA Rate"":""77.23"",""ConnectiCare Commercial Rate"":""73.30"",""ConnectiCare Exchange Rate"":""35.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83525"",""DESC"":""INSULIN"",""Revenue Code"":""301"",""Hospital Charge"":""275.35"",""Minimum Rate"":""14.50"",""Maximum Rate"":""129.84"",""Self-Pay Rate"":""48.46"",""Aetna Rate"":""33.97"",""Anthem HMO Rate"":""14.50"",""Anthem PPO Rate"":""14.50"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""129.84"",""ConnectiCare Exchange Rate"":""15.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84466"",""DESC"":""TRANSFERRIN"",""Revenue Code"":""301"",""Hospital Charge"":""307.41"",""Minimum Rate"":""16.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""54.10"",""Aetna Rate"":""37.92"",""Anthem HMO Rate"":""16.20"",""Anthem PPO Rate"":""16.20"",""CIGNA Rate"":""38.23"",""ConnectiCare Commercial Rate"":""36.24"",""ConnectiCare Exchange Rate"":""17.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84146"",""DESC"":""PROLACTIN"",""Revenue Code"":""301"",""Hospital Charge"":""179.4"",""Minimum Rate"":""24.59"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""31.57"",""Aetna Rate"":""57.56"",""Anthem HMO Rate"":""24.59"",""Anthem PPO Rate"":""24.59"",""CIGNA Rate"":""58.44"",""ConnectiCare Commercial Rate"":""55.02"",""ConnectiCare Exchange Rate"":""26.31"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86301"",""DESC"":""CA 19-9"",""Revenue Code"":""302"",""Hospital Charge"":""501.08"",""Minimum Rate"":""26.41"",""Maximum Rate"":""88.19"",""Self-Pay Rate"":""88.19"",""Aetna Rate"":""61.79"",""Anthem HMO Rate"":""26.41"",""Anthem PPO Rate"":""26.41"",""CIGNA Rate"":""62.81"",""ConnectiCare Commercial Rate"":""59.12"",""ConnectiCare Exchange Rate"":""28.27"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86304"",""DESC"":""CA 125"",""Revenue Code"":""302"",""Hospital Charge"":""501.08"",""Minimum Rate"":""26.41"",""Maximum Rate"":""88.68"",""Self-Pay Rate"":""88.19"",""Aetna Rate"":""61.79"",""Anthem HMO Rate"":""26.41"",""Anthem PPO Rate"":""26.41"",""CIGNA Rate"":""62.81"",""ConnectiCare Commercial Rate"":""88.68"",""ConnectiCare Exchange Rate"":""28.27"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83090"",""DESC"":""HOMOCYSTEINE"",""Revenue Code"":""301"",""Hospital Charge"":""406.05"",""Minimum Rate"":""21.40"",""Maximum Rate"":""71.85"",""Self-Pay Rate"":""71.46"",""Aetna Rate"":""50.10"",""Anthem HMO Rate"":""21.40"",""Anthem PPO Rate"":""21.40"",""CIGNA Rate"":""50.54"",""ConnectiCare Commercial Rate"":""71.85"",""ConnectiCare Exchange Rate"":""22.91"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86708"",""DESC"":""HEPATITIS A ANTIBODY, TOTAL"",""Revenue Code"":""302"",""Hospital Charge"":""298.31"",""Minimum Rate"":""15.72"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""52.50"",""Aetna Rate"":""36.80"",""Anthem HMO Rate"":""15.72"",""Anthem PPO Rate"":""15.72"",""CIGNA Rate"":""37.56"",""ConnectiCare Commercial Rate"":""35.16"",""ConnectiCare Exchange Rate"":""16.82"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84134"",""DESC"":""PREALBUMIN"",""Revenue Code"":""301"",""Hospital Charge"":""351.17"",""Minimum Rate"":""18.51"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""61.81"",""Aetna Rate"":""43.32"",""Anthem HMO Rate"":""18.51"",""Anthem PPO Rate"":""18.51"",""CIGNA Rate"":""44.03"",""ConnectiCare Commercial Rate"":""41.42"",""ConnectiCare Exchange Rate"":""19.81"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83970" ",""DESC"":""PARATHYROID HORMONE, INTACT"",""Revenue Code"":""301"",""Hospital Charge"":""993.68"",""Minimum Rate"":""52.37"",""Maximum Rate"":""174.89"",""Self-Pay Rate"":""174.89"",""Aetna Rate"":""122.59"",""Anthem HMO Rate"":""52.37"",""Anthem PPO Rate"":""52.37"",""CIGNA Rate"":""124.14"",""ConnectiCare Commercial Rate"":""117.20"",""ConnectiCare Exchange Rate"":""56.06"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86160"",""DESC"":""COMPLEMENT C4"",""Revenue Code"":""302"",""Hospital Charge"":""289.07"",""Minimum Rate"":""15.23"",""Maximum Rate"":""119.21"",""Self-Pay Rate"":""50.88"",""Aetna Rate"":""35.67"",""Anthem HMO Rate"":""15.23"",""Anthem PPO Rate"":""15.23"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""119.21"",""ConnectiCare Exchange Rate"":""16.29"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82043"",""DESC"":""MICROALBUMIN,URINE"",""Revenue Code"":""301"",""Hospital Charge"":""139.3"",""Minimum Rate"":""7.34"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""24.52"",""Aetna Rate"":""17.20"",""Anthem HMO Rate"":""7.34"",""Anthem PPO Rate"":""7.34"",""CIGNA Rate"":""17.33"",""ConnectiCare Commercial Rate"":""24.63"",""ConnectiCare Exchange Rate"":""7.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86803"",""DESC"":""HEPATITIS C ANTIBODY"",""Revenue Code"":""302"",""Hospital Charge"":""145.65"",""Minimum Rate"":""18.11"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.63"",""Aetna Rate"":""42.39"",""Anthem HMO Rate"":""18.11"",""Anthem PPO Rate"":""18.11"",""CIGNA Rate"":""42.58"",""ConnectiCare Commercial Rate"":""60.75"",""ConnectiCare Exchange Rate"":""19.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82785"",""DESC"":""IMMUNOGLOBULINE E,IGE"",""Revenue Code"":""301"",""Hospital Charge"":""396.57"",""Minimum Rate"":""20.90"",""Maximum Rate"":""69.80"",""Self-Pay Rate"":""69.80"",""Aetna Rate"":""48.91"",""Anthem HMO Rate"":""20.90"",""Anthem PPO Rate"":""20.90"",""CIGNA Rate"":""49.79"",""ConnectiCare Commercial Rate"":""46.74"",""ConnectiCare Exchange Rate"":""22.35"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86141"",""DESC"":""CARDIO C-REACTIVE PROTEIN"",""Revenue Code"":""302"",""Hospital Charge"":""132.23"",""Minimum Rate"":""16.43"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""23.27"",""Aetna Rate"":""38.45"",""Anthem HMO Rate"":""16.43"",""Anthem PPO Rate"":""16.43"",""CIGNA Rate"":""38.97"",""ConnectiCare Commercial Rate"":""36.76"",""ConnectiCare Exchange Rate"":""17.58"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82105"",""DESC"":""ALPHA-FETOPROTEIN"",""Revenue Code"":""301"",""Hospital Charge"":""403.94"",""Minimum Rate"":""21.28"",""Maximum Rate"":""71.46"",""Self-Pay Rate"":""71.09"",""Aetna Rate"":""49.83"",""Anthem HMO Rate"":""21.28"",""Anthem PPO Rate"":""21.28"",""CIGNA Rate"":""50.54"",""ConnectiCare Commercial Rate"":""71.46"",""ConnectiCare Exchange Rate"":""22.78"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82340"",""DESC"":""CALCIUM, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""145.3"",""Minimum Rate"":""7.65"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.57"",""Aetna Rate"":""17.92"",""Anthem HMO Rate"":""7.65"",""Anthem PPO Rate"":""7.65"",""CIGNA Rate"":""18.03"",""ConnectiCare Commercial Rate"":""25.68"",""ConnectiCare Exchange Rate"":""8.18"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82784"",""DESC"":""IMMUNOGLOBULIN, IGG"",""Revenue Code"":""301"",""Hospital Charge"":""223.85"",""Minimum Rate"":""11.80"",""Maximum Rate"":""198.00"",""Self-Pay Rate"":""39.40"",""Aetna Rate"":""27.61"",""Anthem HMO Rate"":""11.80"",""Anthem PPO Rate"":""11.80"",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""198.00"",""ConnectiCare Exchange Rate"":""12.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82784"",""DESC"":""IMMUNOGLOBULIN, IGA"",""Revenue Code"":""301"",""Hospital Charge"":""223.85"",""Minimum Rate"":""11.80"",""Maximum Rate"":""198.00"",""Self-Pay Rate"":""39.40"",""Aetna Rate"":""27.61"",""Anthem HMO Rate"":""11.80"",""Anthem PPO Rate"":""11.80"",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""198.00"",""ConnectiCare Exchange Rate"":""12.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82784"",""DESC"":""IMMUNOGLOBULIN, IGM"",""Revenue Code"":""301"",""Hospital Charge"":""223.85"",""Minimum Rate"":""11.80"",""Maximum Rate"":""198.00"",""Self-Pay Rate"":""39.40"",""Aetna Rate"":""27.61"",""Anthem HMO Rate"":""11.80"",""Anthem PPO Rate"":""11.80"",""CIGNA Rate"":""28.15"",""ConnectiCare Commercial Rate"":""198.00"",""ConnectiCare Exchange Rate"":""12.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83525"",""DESC"":""INSULIN TOLERANCE FASTING"",""Revenue Code"":""301"",""Hospital Charge"":""275.35"",""Minimum Rate"":""14.50"",""Maximum Rate"":""129.84"",""Self-Pay Rate"":""48.46"",""Aetna Rate"":""33.97"",""Anthem HMO Rate"":""14.50"",""Anthem PPO Rate"":""14.50"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""129.84"",""ConnectiCare Exchange Rate"":""15.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83525"",""DESC"":""INSULIN TOLERANCE 1 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""275.35"",""Minimum Rate"":""14.50"",""Maximum Rate"":""129.84"",""Self-Pay Rate"":""48.46"",""Aetna Rate"":""33.97"",""Anthem HMO Rate"":""14.50"",""Anthem PPO Rate"":""14.50"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""129.84"",""ConnectiCare Exchange Rate"":""15.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83525"",""DESC"":""INSULIN TOLERANCE 2 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""275.35"",""Minimum Rate"":""14.50"",""Maximum Rate"":""129.84"",""Self-Pay Rate"":""48.46"",""Aetna Rate"":""33.97"",""Anthem HMO Rate"":""14.50"",""Anthem PPO Rate"":""14.50"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""129.84"",""ConnectiCare Exchange Rate"":""15.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83525"",""DESC"":""INSULIN TOLERANCE 3 HOUR"",""Revenue Code"":""301"",""Hospital Charge"":""275.35"",""Minimum Rate"":""14.50"",""Maximum Rate"":""129.84"",""Self-Pay Rate"":""48.46"",""Aetna Rate"":""33.97"",""Anthem HMO Rate"":""14.50"",""Anthem PPO Rate"":""14.50"",""CIGNA Rate"":""34.65"",""ConnectiCare Commercial Rate"":""129.84"",""ConnectiCare Exchange Rate"":""15.52"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80047"",""DESC"":""ISTAT BMP"",""Revenue Code"":""301"",""Hospital Charge"":""203.77"",""Minimum Rate"":""10.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""35.86"",""Aetna Rate"":""58.84"",""Anthem HMO Rate"":""10.73"",""Anthem PPO Rate"":""10.73"",""CIGNA Rate"":""25.28"",""ConnectiCare Commercial Rate"":""31.58"",""ConnectiCare Exchange Rate"":""15.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82565"",""DESC"":""CREATININE, ISTAT"",""Revenue Code"":""301"",""Hospital Charge"":""123.34"",""Minimum Rate"":""6.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.71"",""Aetna Rate"":""15.22"",""Anthem HMO Rate"":""6.50"",""Anthem PPO Rate"":""6.50"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""29.12"",""ConnectiCare Exchange Rate"":""6.96"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86703"",""DESC"":""HIV 1 & 2 ANTIBODY"",""Revenue Code"":""302"",""Hospital Charge"":""180"",""Minimum Rate"":""17.40"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""31.68"",""Aetna Rate"":""40.75"",""Anthem HMO Rate"":""17.40"",""Anthem PPO Rate"":""17.40"",""CIGNA Rate"":""41.13"",""ConnectiCare Commercial Rate"":""38.92"",""ConnectiCare Exchange Rate"":""18.61"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86709"",""DESC"":""HEPATITIS A ANTIBODY 1gM"",""Revenue Code"":""302"",""Hospital Charge"":""271"",""Minimum Rate"":""14.28"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""47.70"",""Aetna Rate"":""33.44"",""Anthem HMO Rate"":""14.28"",""Anthem PPO Rate"":""14.28"",""CIGNA Rate"":""33.94"",""ConnectiCare Commercial Rate"":""31.98"",""ConnectiCare Exchange Rate"":""15.29"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82306"",""DESC"":""12-HYDROXYVITAMIN D TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""700.13"",""Minimum Rate"":""37.57"",""Maximum Rate"":""126.09"",""Self-Pay Rate"":""123.22"",""Aetna Rate"":""87.92"",""Anthem HMO Rate"":""37.57"",""Anthem PPO Rate"":""37.57"",""CIGNA Rate"":""88.77"",""ConnectiCare Commercial Rate"":""126.09"",""ConnectiCare Exchange Rate"":""40.21"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""CREATININE PLASMA for CONTRACT"",""Revenue Code"":""301"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86300"",""DESC"":""ASSAY FOR TUMOR Ag CA27.29"",""Revenue Code"":""302"",""Hospital Charge"":""492.24"",""Minimum Rate"":""26.41"",""Maximum Rate"":""88.68"",""Self-Pay Rate"":""86.63"",""Aetna Rate"":""61.79"",""Anthem HMO Rate"":""26.41"",""Anthem PPO Rate"":""26.41"",""CIGNA Rate"":""62.81"",""ConnectiCare Commercial Rate"":""88.68"",""ConnectiCare Exchange Rate"":""28.27"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81291"",""DESC"":""MTHFR GENE MUTATION"",""Revenue Code"":""310"",""Hospital Charge"":""1000.79"",""Minimum Rate"":""54.96"",""Maximum Rate"":""176.14"",""Self-Pay Rate"":""176.14"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""54.96"",""Anthem PPO Rate"":""54.96"",""CIGNA Rate"":""110.73"",""ConnectiCare Commercial Rate"":""75.14"",""ConnectiCare Exchange Rate"":""71.87"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81355"",""DESC"":""WARFARIN (VKORC 1) GENOTYPING"",""Revenue Code"":""310"",""Hospital Charge"":""593.85"",""Minimum Rate"":""57.67"",""Maximum Rate"":""122.37"",""Self-Pay Rate"":""104.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""57.67"",""Anthem PPO Rate"":""57.67"",""CIGNA Rate"":""122.37"",""ConnectiCare Commercial Rate"":""101.43"",""ConnectiCare Exchange Rate"":""97.02"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86003"",""DESC"":""ALLERGEN lgE EACH ANTIGEN"",""Revenue Code"":""310"",""Hospital Charge"":""125.59"",""Minimum Rate"":""6.62"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""22.10"",""Aetna Rate"":""15.52"",""Anthem HMO Rate"":""6.62"",""Anthem PPO Rate"":""6.62"",""CIGNA Rate"":""15.88"",""ConnectiCare Commercial Rate"":""29.64"",""ConnectiCare Exchange Rate"":""7.08"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84295"",""DESC"":""SODIUM, POC"",""Revenue Code"":""301"",""Hospital Charge"":""115.86"",""Minimum Rate"":""6.11"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.39"",""Aetna Rate"":""14.28"",""Anthem HMO Rate"":""6.11"",""Anthem PPO Rate"":""6.11"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""20.49"",""ConnectiCare Exchange Rate"":""6.53"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84132"",""DESC"":""POTASSIUM, POC"",""Revenue Code"":""301"",""Hospital Charge"":""110.63"",""Minimum Rate"":""5.83"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.47"",""Aetna Rate"":""13.65"",""Anthem HMO Rate"":""5.83"",""Anthem PPO Rate"":""5.83"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""19.59"",""ConnectiCare Exchange Rate"":""6.25"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82435"",""DESC"":""CHLORIDE, POC"",""Revenue Code"":""301"",""Hospital Charge"":""110.63"",""Minimum Rate"":""5.83"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.47"",""Aetna Rate"":""13.65"",""Anthem HMO Rate"":""5.83"",""Anthem PPO Rate"":""5.83"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""19.59"",""ConnectiCare Exchange Rate"":""6.25"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82374"",""DESC"":""POC CARBON DIOXIDE"",""Revenue Code"":""301"",""Hospital Charge"":""117.72"",""Minimum Rate"":""6.20"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""20.72"",""Aetna Rate"":""14.52"",""Anthem HMO Rate"":""6.20"",""Anthem PPO Rate"":""6.20"",""CIGNA Rate"":""14.46"",""ConnectiCare Commercial Rate"":""13.86"",""ConnectiCare Exchange Rate"":""6.63"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82330"",""DESC"":""POC IONIZED CALCIUM"",""Revenue Code"":""301"",""Hospital Charge"":""280.22"",""Minimum Rate"":""14.77"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""49.32"",""Aetna Rate"":""34.56"",""Anthem HMO Rate"":""14.77"",""Anthem PPO Rate"":""14.77"",""CIGNA Rate"":""41.13"",""ConnectiCare Commercial Rate"":""38.82"",""ConnectiCare Exchange Rate"":""18.57"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84520"",""DESC"":""BUN POC"",""Revenue Code"":""301"",""Hospital Charge"":""95.03"",""Minimum Rate"":""5.01"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.73"",""Aetna Rate"":""11.71"",""Anthem HMO Rate"":""5.01"",""Anthem PPO Rate"":""5.01"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""16.83"",""ConnectiCare Exchange Rate"":""5.37"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82565"",""DESC"":""CREATININE, POC"",""Revenue Code"":""301"",""Hospital Charge"":""123.34"",""Minimum Rate"":""6.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""21.71"",""Aetna Rate"":""15.22"",""Anthem HMO Rate"":""6.50"",""Anthem PPO Rate"":""6.50"",""CIGNA Rate"":""15.14"",""ConnectiCare Commercial Rate"":""29.12"",""ConnectiCare Exchange Rate"":""6.96"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84484"",""DESC"":""POC TROPONIN"",""Revenue Code"":""301"",""Hospital Charge"":""236.95"",""Minimum Rate"":""12.49"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""41.70"",""Aetna Rate"":""29.23"",""Anthem HMO Rate"":""12.49"",""Anthem PPO Rate"":""12.49"",""CIGNA Rate"":""29.59"",""ConnectiCare Commercial Rate"":""28.68"",""ConnectiCare Exchange Rate"":""13.72"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80047"",""DESC"":""POC BASIC METABOLIC PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""203.77"",""Minimum Rate"":""10.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""35.86"",""Aetna Rate"":""58.84"",""Anthem HMO Rate"":""10.73"",""Anthem PPO Rate"":""10.73"",""CIGNA Rate"":""25.28"",""ConnectiCare Commercial Rate"":""31.58"",""ConnectiCare Exchange Rate"":""15.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84145"",""DESC"":""PROCALCITONIN (PCT)"",""Revenue Code"":""301"",""Hospital Charge"":""645.11"",""Minimum Rate"":""33.98"",""Maximum Rate"":""113.54"",""Self-Pay Rate"":""113.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""33.98"",""Anthem PPO Rate"":""33.98"",""CIGNA Rate"":""80.10"",""ConnectiCare Commercial Rate"":""38.04"",""ConnectiCare Exchange Rate"":""36.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84152"",""DESC"":""PSA SCREENING"",""Revenue Code"":""301"",""Hospital Charge"":""201.35"",""Minimum Rate"":""23.34"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""35.44"",""Aetna Rate"":""54.63"",""Anthem HMO Rate"":""23.34"",""Anthem PPO Rate"":""23.34"",""CIGNA Rate"":""55.56"",""ConnectiCare Commercial Rate"":""26.12"",""ConnectiCare Exchange Rate"":""24.98"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80162"",""DESC"":""DIGOXIN"",""Revenue Code"":""301"",""Hospital Charge"":""319.75"",""Minimum Rate"":""16.84"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.28"",""Aetna Rate"":""39.43"",""Anthem HMO Rate"":""16.84"",""Anthem PPO Rate"":""16.84"",""CIGNA Rate"":""39.69"",""ConnectiCare Commercial Rate"":""18.85"",""ConnectiCare Exchange Rate"":""18.03"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80329"",""DESC"":""VALPROIC ACID"",""Revenue Code"":""301"",""Hospital Charge"":""487.25"",""Minimum Rate"":""25.48"",""Maximum Rate"":""85.76"",""Self-Pay Rate"":""85.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""25.48"",""Anthem PPO Rate"":""25.48"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""30.84"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80165"",""DESC"":""VALPROIC ACID, FREE"",""Revenue Code"":""301"",""Hospital Charge"":""326.11"",""Minimum Rate"":""17.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""57.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""17.02"",""Anthem PPO Rate"":""17.02"",""CIGNA Rate"":""34.37"",""ConnectiCare Commercial Rate"":""19.23"",""ConnectiCare Exchange Rate"":""18.39"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""ALCOHOL"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""BLOOD DRUG SCREEN DRUG CLASS 1"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":""198.82"",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""URINE DRUG SCREEN DRUG CLASS 1"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""ACETAMINOPHEN"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""CANNABINOIDS, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""COCAINE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80320"",""DESC"":""ALCOHOL, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""260.02"",""Minimum Rate"":""13.61"",""Maximum Rate"":""123.36"",""Self-Pay Rate"":""45.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""13.61"",""Anthem PPO Rate"":""13.61"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""123.36"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""SCHS DRUG SCREEN, 08 DRUGS"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""MHC-URINE DRUG SC(8)"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80320"",""DESC"":""MHC - ALCOHOL, BLOOD"",""Revenue Code"":""301"",""Hospital Charge"":""260.02"",""Minimum Rate"":""13.61"",""Maximum Rate"":""123.36"",""Self-Pay Rate"":""45.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""13.61"",""Anthem PPO Rate"":""13.61"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""123.36"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""DAU PANEL 1CO,OP,AL"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""DAU PANEL 2 CO,OP, CA"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""DAU PANEL 3 ALC THC"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""DAU PANEL 4OP METD"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""AMPHETAMINE"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""AMPHETAMINES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""BARBITURATES"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""BARBITURATES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""BENZODIAZEPINES,URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""BENZODIAZEPINES"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""OPIATES, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""PCP, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""METHADONE, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80324"",""DESC"":""AMPHETAMINE CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""12.07"",""Maximum Rate"":""123.36"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""12.07"",""Anthem PPO Rate"":""12.07"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""123.36"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80324"",""DESC"":""AMPHETAMINE CONF"",""Revenue Code"":""300"",""Hospital Charge"":""318.88"",""Minimum Rate"":""12.07"",""Maximum Rate"":""123.36"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""12.07"",""Anthem PPO Rate"":""12.07"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""123.36"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80345"",""DESC"":""BARBITURATES CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""275.86"",""Minimum Rate"":""14.42"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""48.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""14.42"",""Anthem PPO Rate"":""14.42"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""61.68"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80345"",""DESC"":""BARBITURATES CONF"",""Revenue Code"":""301"",""Hospital Charge"":""275.86"",""Minimum Rate"":""14.42"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""48.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""14.42"",""Anthem PPO Rate"":""14.42"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""61.68"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80346"",""DESC"":""BENZODIAZEPINES CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""445.21"",""Minimum Rate"":""23.29"",""Maximum Rate"":""154.20"",""Self-Pay Rate"":""78.36"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""23.29"",""Anthem PPO Rate"":""23.29"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""154.20"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80350"",""DESC"":""CANNABINOIDS CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""29.50"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""29.82"",""Anthem PPO Rate"":""29.82"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""30.84"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""COCAINE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80353"",""DESC"":""COCAINE CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""364.77"",""Minimum Rate"":""19.09"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""64.20"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""19.09"",""Anthem PPO Rate"":""19.09"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""61.68"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80353"",""DESC"":""COCAINE CONF"",""Revenue Code"":""301"",""Hospital Charge"":""364.77"",""Minimum Rate"":""19.09"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""64.20"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""19.09"",""Anthem PPO Rate"":""19.09"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""61.68"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""OPIATES"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80363"",""DESC"":""OPIATE URINE SCREEN CONFIRMATI"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""26.94"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.94"",""Anthem PPO Rate"":""26.94"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80363"",""DESC"":""OPIATES CONF"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""26.94"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""26.94"",""Anthem PPO Rate"":""26.94"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80375"",""DESC"":""PCP CONF, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""22.91"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""22.91"",""Anthem PPO Rate"":""22.91"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""30.84"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80361"",""DESC"":""MEPERIDINE (DEMEROL), URINE"",""Revenue Code"":""301"",""Hospital Charge"":""468.4"",""Minimum Rate"":""24.50"",""Maximum Rate"":""92.52"",""Self-Pay Rate"":""82.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""24.50"",""Anthem PPO Rate"":""24.50"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""92.52"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80358"",""DESC"":""METHADONE CONF, GC-MS"",""Revenue Code"":""301"",""Hospital Charge"":""393.21"",""Minimum Rate"":""20.56"",""Maximum Rate"":""69.20"",""Self-Pay Rate"":""69.20"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""20.56"",""Anthem PPO Rate"":""20.56"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""30.84"",""ConnectiCare Exchange Rate"":""29.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""FLUNITRAZEPAM (ROHYPNOL), URIN"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""TRICYCLIC"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80337"",""DESC"":""TRICYCLIC CONF"",""Revenue Code"":""301"",""Hospital Charge"":""318.88"",""Minimum Rate"":""27.04"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""56.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""27.04"",""Anthem PPO Rate"":""27.04"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""ANTIHISTAMINE SC, URINE"",""Revenue Code"":""300"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80307"",""DESC"":""SALICYLATE"",""Revenue Code"":""301"",""Hospital Charge"":""331.48"",""Minimum Rate"":""53.09"",""Maximum Rate"":""199.44"",""Self-Pay Rate"":""58.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""53.09"",""Anthem PPO Rate"":""53.09"",""CIGNA Rate"":""199.44"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82542"",""DESC"":""OPIATE URINE CHROMATOGRAPHY"",""Revenue Code"":""301"",""Hospital Charge"":""434.61"",""Minimum Rate"":""22.91"",""Maximum Rate"":""831.00"",""Self-Pay Rate"":""76.49"",""Aetna Rate"":""53.63"",""Anthem HMO Rate"":""22.91"",""Anthem PPO Rate"":""22.91"",""CIGNA Rate"":""54.13"",""ConnectiCare Commercial Rate"":""831.00"",""ConnectiCare Exchange Rate"":""26.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82542"",""DESC"":""BENADRYL, URINE"",""Revenue Code"":""301"",""Hospital Charge"":""434.61"",""Minimum Rate"":""22.91"",""Maximum Rate"":""831.00"",""Self-Pay Rate"":""76.49"",""Aetna Rate"":""53.63"",""Anthem HMO Rate"":""22.91"",""Anthem PPO Rate"":""22.91"",""CIGNA Rate"":""54.13"",""ConnectiCare Commercial Rate"":""831.00"",""ConnectiCare Exchange Rate"":""26.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82542"",""DESC"":""DIAMOX (ACETAZOLAMIDE)"",""Revenue Code"":""301"",""Hospital Charge"":""434.61"",""Minimum Rate"":""22.91"",""Maximum Rate"":""831.00"",""Self-Pay Rate"":""76.49"",""Aetna Rate"":""53.63"",""Anthem HMO Rate"":""22.91"",""Anthem PPO Rate"":""22.91"",""CIGNA Rate"":""54.13"",""ConnectiCare Commercial Rate"":""831.00"",""ConnectiCare Exchange Rate"":""26.50"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84270"",""DESC"":""SEX HORMONE BINDING GLOBULIN"",""Revenue Code"":""301"",""Hospital Charge"":""187.81"",""Minimum Rate"":""27.57"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""33.05"",""Aetna Rate"":""64.54"",""Anthem HMO Rate"":""27.57"",""Anthem PPO Rate"":""27.57"",""CIGNA Rate"":""64.95"",""ConnectiCare Commercial Rate"":""61.70"",""ConnectiCare Exchange Rate"":""29.51"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84402"",""DESC"":""TESTOSTERONE, FREE"",""Revenue Code"":""301"",""Hospital Charge"":""220.15"",""Minimum Rate"":""32.31"",""Maximum Rate"":""76.53"",""Self-Pay Rate"":""38.75"",""Aetna Rate"":""75.61"",""Anthem HMO Rate"":""32.31"",""Anthem PPO Rate"":""32.31"",""CIGNA Rate"":""76.53"",""ConnectiCare Commercial Rate"":""72.34"",""ConnectiCare Exchange Rate"":""34.60"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80053"",""DESC"":""COMPREHENSIVE METABOLIC PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""97.8"",""Minimum Rate"":""13.41"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""17.21"",""Aetna Rate"":""31.40"",""Anthem HMO Rate"":""13.41"",""Anthem PPO Rate"":""13.41"",""CIGNA Rate"":""31" "77"",""ConnectiCare Commercial Rate"":""30.00"",""ConnectiCare Exchange Rate"":""14.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80048"",""DESC"":""BASIC METABOLIC PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""92.61"",""Minimum Rate"":""10.73"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""16.30"",""Aetna Rate"":""25.15"",""Anthem HMO Rate"":""10.73"",""Anthem PPO Rate"":""10.73"",""CIGNA Rate"":""25.28"",""ConnectiCare Commercial Rate"":""24.02"",""ConnectiCare Exchange Rate"":""11.48"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""80061"",""DESC"":""LIPID PANEL"",""Revenue Code"":""301"",""Hospital Charge"":""146.62"",""Minimum Rate"":""17.00"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""25.81"",""Aetna Rate"":""39.79"",""Anthem HMO Rate"":""17.00"",""Anthem PPO Rate"":""17.00"",""CIGNA Rate"":""49.07"",""ConnectiCare Commercial Rate"":""57.03"",""ConnectiCare Exchange Rate"":""18.18"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84443"",""DESC"":""TSH"",""Revenue Code"":""300"",""Hospital Charge"":""155.63"",""Minimum Rate"":""21.32"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.39"",""Aetna Rate"":""49.89"",""Anthem HMO Rate"":""21.32"",""Anthem PPO Rate"":""21.32"",""CIGNA Rate"":""50.54"",""ConnectiCare Commercial Rate"":""47.72"",""ConnectiCare Exchange Rate"":""22.83"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""84439"",""DESC"":""T4, FREE"",""Revenue Code"":""301"",""Hospital Charge"":""98.71"",""Minimum Rate"":""11.45"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""17.37"",""Aetna Rate"":""26.78"",""Anthem HMO Rate"":""11.45"",""Anthem PPO Rate"":""11.45"",""CIGNA Rate"":""27.44"",""ConnectiCare Commercial Rate"":""25.60"",""ConnectiCare Exchange Rate"":""12.24"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82306"",""DESC"":""12-HYDROXYVITAMIN D TOTAL"",""Revenue Code"":""301"",""Hospital Charge"":""274.13"",""Minimum Rate"":""37.57"",""Maximum Rate"":""126.09"",""Self-Pay Rate"":""48.25"",""Aetna Rate"":""87.92"",""Anthem HMO Rate"":""37.57"",""Anthem PPO Rate"":""37.57"",""CIGNA Rate"":""88.77"",""ConnectiCare Commercial Rate"":""126.09"",""ConnectiCare Exchange Rate"":""40.21"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83036"",""DESC"":""HGB (FINGERSTICK) A1C"",""Revenue Code"":""301"",""Hospital Charge"":""106.25"",""Minimum Rate"":""12.31"",""Maximum Rate"":""68.95"",""Self-Pay Rate"":""18.70"",""Aetna Rate"":""28.82"",""Anthem HMO Rate"":""12.31"",""Anthem PPO Rate"":""12.31"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""68.95"",""ConnectiCare Exchange Rate"":""13.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82010"",""DESC"":""BETA HYDROXBUTYRATE"",""Revenue Code"":""301"",""Hospital Charge"":""45.41"",""Minimum Rate"":""7.99"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""7.99"",""Aetna Rate"":""24.28"",""Anthem HMO Rate"":""10.37"",""Anthem PPO Rate"":""10.37"",""CIGNA Rate"":""24.56"",""ConnectiCare Commercial Rate"":""23.20"",""ConnectiCare Exchange Rate"":""11.10"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82627"",""DESC"":""DHEAS"",""Revenue Code"":""301"",""Hospital Charge"":""535.37"",""Minimum Rate"":""28.21"",""Maximum Rate"":""94.23"",""Self-Pay Rate"":""94.23"",""Aetna Rate"":""66.05"",""Anthem HMO Rate"":""28.21"",""Anthem PPO Rate"":""28.21"",""CIGNA Rate"":""67.15"",""ConnectiCare Commercial Rate"":""63.14"",""ConnectiCare Exchange Rate"":""30.20"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86769"",""DESC"":""COVID-19 lgG"",""Revenue Code"":""301"",""Hospital Charge"":""126"",""Minimum Rate"":""22.18"",""Maximum Rate"":""86.95"",""Self-Pay Rate"":""22.18"",""Aetna Rate"":""86.95"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86769"",""DESC"":""COVID-19 lgM"",""Revenue Code"":""301"",""Hospital Charge"":""126"",""Minimum Rate"":""22.18"",""Maximum Rate"":""86.95"",""Self-Pay Rate"":""22.18"",""Aetna Rate"":""86.95"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""86328"",""DESC"":""COVID-19 lgG & lgM"",""Revenue Code"":""301"",""Hospital Charge"":""200"",""Minimum Rate"":""35.20"",""Maximum Rate"":""93.35"",""Self-Pay Rate"":""35.20"",""Aetna Rate"":""93.35"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""PACU - 1ST 60 MIN - FLAT RATE"",""Revenue Code"":""710"",""Hospital Charge"":""2624.1"",""Minimum Rate"":""1,023.40"",""Maximum Rate"":""2,234.95"",""Self-Pay Rate"":""1,023.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,234.95"",""ConnectiCare Exchange Rate"":""2,109.25"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU - 61 MIN & UP - MIN"",""Revenue Code"":""710"",""Hospital Charge"":""58.18"",""Minimum Rate"":""22.69"",""Maximum Rate"":""22.69"",""Self-Pay Rate"":""22.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU 2- 1ST 60 MIN - FLAT RATE"",""Revenue Code"":""710"",""Hospital Charge"":""722.35"",""Minimum Rate"":""281.72"",""Maximum Rate"":""615.23"",""Self-Pay Rate"":""281.72"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""615.23"",""ConnectiCare Exchange Rate"":""580.62"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU STG 2 - 61 MIN & UP - MIN"",""Revenue Code"":""710"",""Hospital Charge"":""15.94"",""Minimum Rate"":""6.22"",""Maximum Rate"":""13.58"",""Self-Pay Rate"":""6.22"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""13.58"",""ConnectiCare Exchange Rate"":""12.81"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""33967"",""DESC"":""INSRT INTRA-AORT BAL CATHETER"",""Revenue Code"":""481"",""Hospital Charge"":""6631.7"",""Minimum Rate"":""1,956.35"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""1,956.35"",""Aetna Rate"":""4,077.17"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,648.22"",""ConnectiCare Exchange Rate"":""5,330.56"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""33968"",""DESC"":""REMOVAL INTRA-AORTIC BALN CATH"",""Revenue Code"":""481"",""Hospital Charge"":""457.47"",""Minimum Rate"":""134.95"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""134.95"",""Aetna Rate"":""281.25"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""389.63"",""ConnectiCare Exchange Rate"":""367.71"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""93503"",""DESC"":""SWAN GANZ INSERT W-PRESSURE"",""Revenue Code"":""481"",""Hospital Charge"":""11253.12"",""Minimum Rate"":""3,319.67"",""Maximum Rate"":""9,584.28"",""Self-Pay Rate"":""3,319.67"",""Aetna Rate"":""7,892.94"",""Anthem HMO Rate"":""7,623.99"",""Anthem PPO Rate"":""7,623.99"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""9,584.28"",""ConnectiCare Exchange Rate"":""9,045.26"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""75736"",""DESC"":""ANGIOGRAPHY PELVIC SELECT"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""210.83"",""Maximum Rate"":""15,317.82"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""210.83"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""871.79"",""ConnectiCare Commercial Rate"":""887.31"",""ConnectiCare Exchange Rate"":""828.74"",""UnitedHealthcare\/Oxford Rate"":""15,317.82""},{""CPT-4"":""92960"",""DESC"":""CARDIOVERSION ARYTH EXTERNAL"",""Revenue Code"":""480"",""Hospital Charge"":""5980.52"",""Minimum Rate"":""1,638.49"",""Maximum Rate"":""5,093.61"",""Self-Pay Rate"":""1,764.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""1,638.49"",""ConnectiCare Commercial Rate"":""5,093.61"",""ConnectiCare Exchange Rate"":""4,807.14"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""33011"",""DESC"":""PERICARDIOCENTESIS SUBSEQNT"",""Revenue Code"":""481"",""Hospital Charge"":""5729.23"",""Minimum Rate"":""1,690.12"",""Maximum Rate"":""4,879.59"",""Self-Pay Rate"":""1,690.12"",""Aetna Rate"":""3,522.33"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,879.59"",""ConnectiCare Exchange Rate"":""4,605.16"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""33210"",""DESC"":""INSRT-REPLC TEMP PACEMAKR SNGL"",""Revenue Code"":""481"",""Hospital Charge"":""19899.71"",""Minimum Rate"":""5,870.41"",""Maximum Rate"":""16,948.58"",""Self-Pay Rate"":""5,870.41"",""Aetna Rate"":""12,234.34"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""16,948.58"",""ConnectiCare Exchange Rate"":""15,995.39"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92978"",""DESC"":""ENDOLUM IMAGE CORONRY VES INIT"",""Revenue Code"":""481"",""Hospital Charge"":""8728.46"",""Minimum Rate"":""2,574.90"",""Maximum Rate"":""7,434.03"",""Self-Pay Rate"":""2,574.90"",""Aetna Rate"":""5,366.26"",""Anthem HMO Rate"":""3,783.35"",""Anthem PPO Rate"":""3,783.35"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""7,434.03"",""ConnectiCare Exchange Rate"":""7,015.94"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""92979"",""DESC"":""ENDOLUM IMAGE CORON VES EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""4676.73"",""Minimum Rate"":""1,379.64"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,379.64"",""Aetna Rate"":""2,875.25"",""Anthem HMO Rate"":""2,027.13"",""Anthem PPO Rate"":""2,027.13"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,983.17"",""ConnectiCare Exchange Rate"":""3,759.16"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36000"",""DESC"":""INTRO NEEDLE-CATH IN VEIN"",""Revenue Code"":""481"",""Hospital Charge"":""216.12"",""Minimum Rate"":""63.76"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""63.76"",""Aetna Rate"":""132.87"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""184.07"",""ConnectiCare Exchange Rate"":""173.72"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36005"",""DESC"":""VENOGRAM INJECT EXTREM"",""Revenue Code"":""481"",""Hospital Charge"":""1848.26"",""Minimum Rate"":""545.24"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""545.24"",""Aetna Rate"":""1,136.31"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,574.16"",""ConnectiCare Exchange Rate"":""1,485.63"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36010"",""DESC"":""VENA CAVA CATHETER"",""Revenue Code"":""481"",""Hospital Charge"":""2678.4"",""Minimum Rate"":""790.13"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""790.13"",""Aetna Rate"":""1,646.68"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,281.19"",""ConnectiCare Exchange Rate"":""2,152.90"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36011"",""DESC"":""SEL CATH VENOUS VASC FAM 1"",""Revenue Code"":""481"",""Hospital Charge"":""5076.41"",""Minimum Rate"":""1,497.54"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,497.54"",""Aetna Rate"":""3,120.98"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,323.58"",""ConnectiCare Exchange Rate"":""4,080.42"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36012"",""DESC"":""SEL CATH VENOUS VASC FAM 2"",""Revenue Code"":""481"",""Hospital Charge"":""6168.65"",""Minimum Rate"":""1,819.75"",""Maximum Rate"":""5,253.84"",""Self-Pay Rate"":""1,819.75"",""Aetna Rate"":""3,792.49"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,253.84"",""ConnectiCare Exchange Rate"":""4,958.36"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36013"",""DESC"":""RT HEART-PULMONARY TRUNK ON"",""Revenue Code"":""481"",""Hospital Charge"":""7531.57"",""Minimum Rate"":""2,221.81"",""Maximum Rate"":""6,414.64"",""Self-Pay Rate"":""2,221.81"",""Aetna Rate"":""4,630.41"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,414.64"",""ConnectiCare Exchange Rate"":""6,053.88"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36014"",""DESC"":""SEL PULM CATH LT OR RT"",""Revenue Code"":""481"",""Hospital Charge"":""7541.22"",""Minimum Rate"":""2,224.66"",""Maximum Rate"":""6,422.86"",""Self-Pay Rate"":""2,224.66"",""Aetna Rate"":""4,636.34"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,422.86"",""ConnectiCare Exchange Rate"":""6,061.63"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36015"",""DESC"":""SEL PUL CATH SEG-SUB LT-RT"",""Revenue Code"":""481"",""Hospital Charge"":""7541.22"",""Minimum Rate"":""2,224.66"",""Maximum Rate"":""6,422.86"",""Self-Pay Rate"":""2,224.66"",""Aetna Rate"":""4,636.34"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,422.86"",""ConnectiCare Exchange Rate"":""6,061.63"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36100"",""DESC"":""INTRO NDLE-CATH ARTERY"",""Revenue Code"":""481"",""Hospital Charge"":""4170.08"",""Minimum Rate"":""1,230.17"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,230.17"",""Aetna Rate"":""2,563.77"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,551.66"",""ConnectiCare Exchange Rate"":""3,351.91"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36120"",""DESC"":""RETROGRADE BRACHIAL ARTERY"",""Revenue Code"":""481"",""Hospital Charge"":""4433.27"",""Minimum Rate"":""1,307.81"",""Maximum Rate"":""3,775.82"",""Self-Pay Rate"":""1,307.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,775.82"",""ConnectiCare Exchange Rate"":""3,563.46"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""36140"",""DESC"":""INTRO NDL-INTRACATH EXT ART"",""Revenue Code"":""481"",""Hospital Charge"":""3073.59"",""Minimum Rate"":""906.71"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""906.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,617.78"",""ConnectiCare Exchange Rate"":""2,470.55"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36160"",""DESC"":""INTRO NDLE AORTA TRANS LUMBAR"",""Revenue Code"":""481"",""Hospital Charge"":""4116.99"",""Minimum Rate"":""1,214.51"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,214.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,506.44"",""ConnectiCare Exchange Rate"":""3,309.24"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36200"",""DESC"":""INTRO CATHETER AORTA"",""Revenue Code"":""481"",""Hospital Charge"":""2884.52"",""Minimum Rate"":""850.93"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""850.93"",""Aetna Rate"":""1,773.40"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,456.75"",""ConnectiCare Exchange Rate"":""2,318.58"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36215"",""DESC"":""CL SEL THOR-BRACH VASC FAM 1"",""Revenue Code"":""481"",""Hospital Charge"":""2807.32"",""Minimum Rate"":""828.16"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""828.16"",""Aetna Rate"":""1,725.94"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,390.99"",""ConnectiCare Exchange Rate"":""2,256.52"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36216"",""DESC"":""SEL THOR-BRACH VASC FAM 2"",""Revenue Code"":""481"",""Hospital Charge"":""3003.77"",""Minimum Rate"":""886.11"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""886.11"",""Aetna Rate"":""1,846.72"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,558.31"",""ConnectiCare Exchange Rate"":""2,414.43"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36217"",""DESC"":""SEL THOR-BRACH VASC FAM 3"",""Revenue Code"":""481"",""Hospital Charge"":""3616.99"",""Minimum Rate"":""1,067.01"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,067.01"",""Aetna Rate"":""2,223.73"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,080.59"",""ConnectiCare Exchange Rate"":""2,907.34"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36218"",""DESC"":""SEL THOR-BRACH VASC FAM ADD"",""Revenue Code"":""481"",""Hospital Charge"":""1799.84"",""Minimum Rate"":""530.95"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""530.95"",""Aetna Rate"":""1,106.54"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,532.92"",""ConnectiCare Exchange Rate"":""1,446.71"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36245"",""DESC"":""SEL ABD-PEL-LE VAS FAM 1"",""Revenue Code"":""481"",""Hospital Charge"":""2927.54"",""Minimum Rate"":""863.62"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""863.62"",""Aetna Rate"":""1,799.85"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,493.39"",""ConnectiCare Exchange Rate"":""2,353.16"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36299"",""DESC"":""VASC INJECT PROC - UNLISTED"",""Revenue Code"":""481"",""Hospital Charge"":""3138.49"",""Minimum Rate"":""925.85"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""925.85"",""Aetna Rate"":""1,929.54"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,673.05"",""ConnectiCare Exchange Rate"":""2,522.72"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36555"",""DESC"":""INSRT NON-TUN CV LINE <5 YR"",""Revenue Code"":""481"",""Hospital Charge"":""5905.75"",""Minimum Rate"":""1,742.20"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,742.20"",""Aetna Rate"":""3,630.86"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,029.93"",""ConnectiCare Exchange Rate"":""4,747.04"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""36556"",""DESC"":""INSRT NON-TUNL CVP LINE > 5YR"",""Revenue Code"":""481"",""Hospital Charge"":""5905.75"",""Minimum Rate"":""1,742.20"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,742.20"",""Aetna Rate"":""3,630.86"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,029.93"",""ConnectiCare Exchange Rate"":""4,747.04"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""36558"",""DESC"":""INSRT TUNNELELED CV CATH"",""Revenue Code"":""481"",""Hospital Charge"":""13399.2"",""Minimum Rate"":""3,952.76"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,952.76"",""Aetna Rate"":""8,237.83"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,412.10"",""ConnectiCare Exchange Rate"":""10,770.28"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""37215"",""DESC"":""PLCMT STNT CERV CARTD W ANGIO"",""Revenue Code"":""481"",""Hospital Charge"":""15008.08"",""Minimum Rate"":""4,427.38"",""Maximum Rate"":""12,782.38"",""Self-Pay Rate"":""4,427.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""12,782.38"",""ConnectiCare Exchange Rate"":""12,063.49"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""75625"",""DESC"":""D THORACIC AORTAGRAM S & I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""165.46"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""165.46"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""767.05"",""ConnectiCare Commercial Rate"":""631.97"",""ConnectiCare Exchange Rate"":""590.26"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75630"",""DESC"":""D ABD AORTA W FEM RUNOFF S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""165.46"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""165.46"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""776.91"",""ConnectiCare Commercial Rate"":""668.01"",""ConnectiCare Exchange Rate"":""623.92"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75710"",""DESC"":""CL ANGIO BRACHIAL RETRO S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""215.14"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""215.14"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""893.57"",""ConnectiCare Commercial Rate"":""713.82"",""ConnectiCare Exchange Rate"":""666.71"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75710"",""DESC"":""CL ANGIO EXTREMITY UNILAT S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""215.14"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""215.14"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""893.57"",""ConnectiCare Commercial Rate"":""713.82"",""ConnectiCare Exchange Rate"":""666.71"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75716"",""DESC"":""CL ANGIO EXTREMITY BILAT S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""245.35"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""245.35"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""1,054.05"",""ConnectiCare Commercial Rate"":""730.13"",""ConnectiCare Exchange Rate"":""681.94"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75741"",""DESC"":""CL PULMONARY, UNILATERAL S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""176.96"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""176.96"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""749.28"",""ConnectiCare Commercial Rate"":""733.47"",""ConnectiCare Exchange Rate"":""685.06"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75743"",""DESC"":""CL PULMONARY ARTERIO S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""179.11"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""179.11"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""804.58"",""ConnectiCare Commercial Rate"":""743.25"",""ConnectiCare Exchange Rate"":""694.20"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75746"",""DESC"":""CL PULMONARY,NON-SELECTIVE S&I"",""Revenue Code"":""323"",""Hospital Charge"":""10626.41"",""Minimum Rate"":""196.37"",""Maximum Rate"":""7,066.56"",""Self-Pay Rate"":""2,901.01"",""Aetna Rate"":""6,553.31"",""Anthem HMO Rate"":""196.37"",""Anthem PPO Rate"":""7,066.56"",""CIGNA Rate"":""840.13"",""ConnectiCare Commercial Rate"":""818.58"",""ConnectiCare Exchange Rate"":""764.55"",""UnitedHealthcare\/Oxford Rate"":""3,827.71""},{""CPT-4"":""75774"",""DESC"":""CL ANGIOGRAPHY SELECT ADD VESS"",""Revenue Code"":""323"",""Hospital Charge"":""4031.72"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,681.09"",""Self-Pay Rate"":""1,100.66"",""Aetna Rate"":""2,486.36"",""Anthem HMO Rate"":""141.01"",""Anthem PPO Rate"":""2,681.09"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""543.52"",""ConnectiCare Exchange Rate"":""507.65"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""75820"",""DESC"":""CL VENOGRAM EXTREM UNI S&I"",""Revenue Code"":""320"",""Hospital Charge"":""10502.72"",""Minimum Rate"":""161.85"",""Maximum Rate"":""6,984.31"",""Self-Pay Rate"":""2,867.24"",""Aetna Rate"":""6,477.03"",""Anthem HMO Rate"":""161.85"",""Anthem PPO Rate"":""6,984.31"",""CIGNA Rate"":""547.68"",""ConnectiCare Commercial Rate"":""674.53"",""ConnectiCare Exchange Rate"":""630.01"",""UnitedHealthcare\/Oxford Rate"":""2,170.04""},{""CPT-4"":""75822"",""DESC"":""CL VENOGRAM EXTREM BIL S&I"",""Revenue Code"":""320"",""Hospital Charge"":""10626.41"",""Minimum Rate"":""171.20"",""Maximum Rate"":""7,066.56"",""Self-Pay Rate"":""2,901.01"",""Aetna Rate"":""6,553.31"",""Anthem HMO Rate"":""171.20"",""Anthem PPO Rate"":""7,066.56"",""CIGNA Rate"":""618.83"",""ConnectiCare Commercial Rate"":""684.31"",""ConnectiCare Exchange Rate"":""639.14"",""UnitedHealthcare\/Oxford Rate"":""3,827.71""},{""CPT-4"":""75825"",""DESC"":""CL VENOGRAPHY INFERIOR S & I"",""Revenue Code"":""320"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""161.14"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""161.14"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""727.54"",""ConnectiCare Commercial Rate"":""648.36"",""ConnectiCare Exchange Rate"":""605.57"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75827"",""DESC"":""CL VENOGRAPHY CAVA SUPER S&I"",""Revenue Code"":""320"",""Hospital Charge"":""5446.44"",""Minimum Rate"":""165.46"",""Maximum Rate"":""3,621.88"",""Self-Pay Rate"":""1,486.88"",""Aetna Rate"":""3,358.82"",""Anthem HMO Rate"":""165.46"",""Anthem PPO Rate"":""3,621.88"",""CIGNA Rate"":""751.22"",""ConnectiCare Commercial Rate"":""690.92"",""ConnectiCare Exchange Rate"":""645.31"",""UnitedHealthcare\/Oxford Rate"":""2,170.04""},{""CPT-4"":""75831"",""DESC"":""CL RENAL VEIN UNI S & I"",""Revenue Code"":""320"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""173.35"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""173.35"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""751.22"",""ConnectiCare Commercial Rate"":""707.30"",""ConnectiCare Exchange Rate"":""660.62"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""75833"",""DESC"":""CL RENAL ANGIOGRAM BILAT S&I"",""Revenue Code"":""320"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""184.15"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""184.15"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""846.13"",""ConnectiCare Commercial Rate"":""782.55"",""ConnectiCare Exchange Rate"":""730.90"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""76000"",""DESC"":""FLUORO > 1 HOUR CUP REPOSIT"",""Revenue Code"":""320"",""Hospital Charge"":""1375.33"",""Minimum Rate"":""77.02"",""Maximum Rate"":""914.59"",""Self-Pay Rate"":""375.47"",""Aetna Rate"":""848.17"",""Anthem HMO Rate"":""77.02"",""Anthem PPO Rate"":""914.59"",""CIGNA Rate"":""332.28"",""ConnectiCare Commercial Rate"":""242.29"",""ConnectiCare Exchange Rate"":""226.30"",""UnitedHealthcare\/Oxford Rate"":""806.96""},{""CPT-4"":""76930"",""DESC"":""US GUIDED PERICARDCENTESIS"",""Revenue Code"":""402"",""Hospital Charge"":""793.08"",""Minimum Rate"":""117.06"",""Maximum Rate"":""527.40"",""Self-Pay Rate"":""233.96"",""Aetna Rate"":""489.09"",""Anthem HMO Rate"":""117.06"",""Anthem PPO Rate"":""527.40"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""76937"",""DESC"":""US GUIDANCE for VASC ACCESS"",""Revenue Code"":""402"",""Hospital Charge"":""1891.89"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,258.11"",""Self-Pay Rate"":""558.11"",""Aetna Rate"":""1,166.73"",""Anthem HMO Rate"":""35.31"",""Anthem PPO Rate"":""1,258.11"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""202.99"",""ConnectiCare Exchange Rate"":""189.60"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""77001"",""DESC"":""FLUORO GUIDED CENT VEN ACCESS"",""Revenue Code"":""320"",""Hospital Charge"":""1492.31"",""Minimum Rate"":"" - "",""Maximum Rate"":""992.39"",""Self-Pay Rate"":""407.40"",""Aetna Rate"":""920.31"",""Anthem HMO Rate"":""103.62"",""Anthem PPO Rate"":""992.39"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""713.82"",""ConnectiCare Exchange Rate"":""666.71"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""77002"",""DESC"":""FLUORO GUIDANCE NDLE PLACMENT"",""Revenue Code"":""320"",""Hospital Charge"":""3487.12"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,318.93"",""Self-Pay Rate"":""951.98"",""Aetna Rate"":""2,150.51"",""Anthem HMO Rate"":""129.51"",""Anthem PPO Rate"":""2,318.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""739.99"",""ConnectiCare Exchange Rate"":""691.15"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""G0269"",""DESC"":""PLACE OCCLUSIV DEVICE ART-VEIN"",""Revenue Code"":""481"",""Hospital Charge"":""1310.65"",""Minimum Rate"":""386.64"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""386.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,116.28"",""ConnectiCare Exchange Rate"":""1,053.50"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""G0278"",""DESC"":""ANGIO ILIAC DURING CARD CATH"",""Revenue Code"":""481"",""Hospital Charge"":""2417.19"",""Minimum Rate"":""713.07"",""Maximum Rate"":""2,058.72"",""Self-Pay Rate"":""713.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,058.72"",""ConnectiCare Exchange Rate"":""1,942.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""93571"",""DESC"":""CL INTRAVASC DOPP CF INITIAL"",""Revenue Code"":""480"",""Hospital Charge"":""3938.78"",""Minimum Rate"":""1,161.94"",""Maximum Rate"":""3,354.66"",""Self-Pay Rate"":""1,161.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""2,668.52"",""Anthem PPO Rate"":""2,668.52"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,354.66"",""ConnectiCare Exchange Rate"":""3,165.99"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93572"",""DESC"":""INTRAVASC DOPP CF ADD"",""Revenue Code"":""480"",""Hospital Charge"":""1501.84"",""Minimum Rate"":""443.04"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""443.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""1,017.50"",""Anthem PPO Rate"":""1,017.50"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,279.12"",""ConnectiCare Exchange Rate"":""1,207.18"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""36247"",""DESC"":""SEL ABD-PEL-LE VAS FAM 3 ART"",""Revenue Code"":""481"",""Hospital Charge"":""3608.35"",""Minimum Rate"":""1,064.46"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,064.46"",""Aetna Rate"":""2,218.41"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,073.23"",""ConnectiCare Exchange Rate"":""2,900.39"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36580"",""DESC"":""REPL NON-TUN CV W-O PORT-PUMP"",""Revenue Code"":""481"",""Hospital Charge"":""5905.75"",""Minimum Rate"":""1,742.20"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,742.20"",""Aetna Rate"":""3,630.86"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,029.93"",""ConnectiCare Exchange Rate"":""4,747.04"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""36581"",""DESC"":""REPL TUNLD CV W-O PORT-PUMP"",""Revenue Code"":""481"",""Hospital Charge"":""13399.2"",""Minimum Rate"":""3,952.76"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,952.76"",""Aetna Rate"":""8,237.83"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,412.10"",""ConnectiCare Exchange Rate"":""10,770.28"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""36246"",""DESC"":""SEL ABD-PEL-LE VAS FAM 2"",""Revenue Code"":""481"",""Hospital Charge"":""4946.9"",""Minimum Rate"":""1,459.34"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,459.34"",""Aetna Rate"":""3,041.35"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,213.27"",""ConnectiCare Exchange Rate"":""3,976.32"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36589"",""DESC"":""REMOV IMPLANTED VENOUS ACCSS"",""Revenue Code"":""481"",""Hospital Charge"":""3371.32"",""Minimum Rate"":""994.54"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""994.54"",""Aetna Rate"":""2,072.69"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,871.35"",""ConnectiCare Exchange Rate"":""2,709.87"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""92973"",""DESC"":""PERC COR TRANSLUM THROMBECTOMY"",""Revenue Code"":""480"",""Hospital Charge"":""47043.07"",""Minimum Rate"":""2,874.00"",""Maximum Rate"":""40,066.58"",""Self-Pay Rate"":""13,877.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""40,066.58"",""ConnectiCare Exchange Rate"":""37,813.22"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93531"",""DESC"":""CATH RT-LT RETROG CONGEN ANOM"",""Revenue Code"":""481"",""Hospital Charge"":""10852.13"",""Minimum Rate"":""3,201.38"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""3,201.38"",""Aetna Rate"":""7,611.68"",""Anthem HMO Rate"":""7,352.32"",""Anthem PPO Rate"":""7,352.32"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""9,242.76"",""ConnectiCare Exchange Rate"":""8,722.94"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""37220"",""DESC"":""ANGIOPLASTY ILIAC INIT"",""Revenue Code"":""481"",""Hospital Charge"":""17667.12"",""Minimum Rate"":""5,211.80"",""Maximum Rate"":""15,047.09"",""Self-Pay Rate"":""5,211.80"",""Aetna Rate"":""10,861.75"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,047.09"",""ConnectiCare Exchange Rate"":""14,200.83"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37221"",""DESC"":""ILIAC INITIAL STNT W PTA"",""Revenue Code"":""481"",""Hospital Charge"":""20611.63"",""Minimum Rate"":""6,080.43"",""Maximum Rate"":""17,554.93"",""Self-Pay Rate"":""6,080.43"",""Aetna Rate"":""12,672.03"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""17,554.93"",""ConnectiCare Exchange Rate"":""16,567.63"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37222"",""DESC"":""ILIAC PTA EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""12366.98"",""Minimum Rate"":""3,648.26"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""3,648.26"",""Aetna Rate"":""7,603.22"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""10,532.96"",""ConnectiCare Exchange Rate"":""9,940.58"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37223"",""DESC"":""ILIAC STNT W PTA EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""15458.73"",""Minimum Rate"":""4,560.33"",""Maximum Rate"":""13,166.20"",""Self-Pay Rate"":""4,560.33"",""Aetna Rate"":""9,504.03"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""13,166.20"",""ConnectiCare Exchange Rate"":""12,425.73"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37224"",""DESC"":""FEM-POP ARTERY PTA"",""Revenue Code"":""481"",""Hospital Charge"":""17667.12"",""Minimum Rate"":""5,211.80"",""Maximum Rate"":""15,047.09"",""Self-Pay Rate"":""5" "211.80"",""Aetna Rate"":""10,861.75"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,047.09"",""ConnectiCare Exchange Rate"":""14,200.83"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37225"",""DESC"":""FEM-POP ATHERECTOMY PTA"",""Revenue Code"":""481"",""Hospital Charge"":""25004.65"",""Minimum Rate"":""7,376.37"",""Maximum Rate"":""21,296.46"",""Self-Pay Rate"":""7,376.37"",""Aetna Rate"":""15,372.86"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,296.46"",""ConnectiCare Exchange Rate"":""20,098.74"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37226"",""DESC"":""FEM-POP STNT INSRTN W PTA"",""Revenue Code"":""481"",""Hospital Charge"":""26254.87"",""Minimum Rate"":""7,745.19"",""Maximum Rate"":""22,361.27"",""Self-Pay Rate"":""7,745.19"",""Aetna Rate"":""16,141.49"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""22,361.27"",""ConnectiCare Exchange Rate"":""21,103.66"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37227"",""DESC"":""FEM-POP ART-ATHER STENT PTA"",""Revenue Code"":""481"",""Hospital Charge"":""43304.82"",""Minimum Rate"":""11,864.00"",""Maximum Rate"":""36,882.72"",""Self-Pay Rate"":""12,774.92"",""Aetna Rate"":""26,623.80"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""36,882.72"",""ConnectiCare Exchange Rate"":""34,808.41"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37228"",""DESC"":""TIB-PERANEAL ARTERY PTA INIT"",""Revenue Code"":""481"",""Hospital Charge"":""18550.48"",""Minimum Rate"":""5,472.39"",""Maximum Rate"":""15,799.44"",""Self-Pay Rate"":""5,472.39"",""Aetna Rate"":""11,404.84"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,799.44"",""ConnectiCare Exchange Rate"":""14,910.88"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37229"",""DESC"":""TIB-PERANEL ART-ATH W PTA INIT"",""Revenue Code"":""481"",""Hospital Charge"":""26254.87"",""Minimum Rate"":""7,745.19"",""Maximum Rate"":""22,361.27"",""Self-Pay Rate"":""7,745.19"",""Aetna Rate"":""16,141.49"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""22,361.27"",""ConnectiCare Exchange Rate"":""21,103.66"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37230"",""DESC"":""TIB-PERANEAL ART STNT W PTA"",""Revenue Code"":""481"",""Hospital Charge"":""31255.8"",""Minimum Rate"":""9,220.46"",""Maximum Rate"":""26,620.56"",""Self-Pay Rate"":""9,220.46"",""Aetna Rate"":""19,216.07"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""26,620.56"",""ConnectiCare Exchange Rate"":""25,123.41"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37231"",""DESC"":""TIB-PERANL ART-ATH STNT W PTA"",""Revenue Code"":""481"",""Hospital Charge"":""43304.82"",""Minimum Rate"":""11,864.00"",""Maximum Rate"":""36,882.72"",""Self-Pay Rate"":""12,774.92"",""Aetna Rate"":""26,623.80"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""36,882.72"",""ConnectiCare Exchange Rate"":""34,808.41"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37232"",""DESC"":""TIB-PERANEAL ART PTA EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""11778.1"",""Minimum Rate"":""3,474.54"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""3,474.54"",""Aetna Rate"":""7,241.18"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""10,031.41"",""ConnectiCare Exchange Rate"":""9,467.24"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37233"",""DESC"":""TIB-PERANL ART-ATH PTA EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""25004.65"",""Minimum Rate"":""7,376.37"",""Maximum Rate"":""21,296.46"",""Self-Pay Rate"":""7,376.37"",""Aetna Rate"":""15,372.86"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,296.46"",""ConnectiCare Exchange Rate"":""20,098.74"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37234"",""DESC"":""TIB-PERANL ART STNT PTA EA AD"",""Revenue Code"":""481"",""Hospital Charge"":""11778.07"",""Minimum Rate"":""3,474.53"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""3,474.53"",""Aetna Rate"":""7,241.16"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""10,031.38"",""ConnectiCare Exchange Rate"":""9,467.21"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37235"",""DESC"":""TIB-PRNL ART-ATH STNT PTA EA"",""Revenue Code"":""481"",""Hospital Charge"":""14722.59"",""Minimum Rate"":""4,343.16"",""Maximum Rate"":""12,539.23"",""Self-Pay Rate"":""4,343.16"",""Aetna Rate"":""9,051.45"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""12,539.23"",""ConnectiCare Exchange Rate"":""11,834.02"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""0234T"",""DESC"":""ATHERECTOMY RENAL ARTERY"",""Revenue Code"":""481"",""Hospital Charge"":""20893.74"",""Minimum Rate"":""6,163.65"",""Maximum Rate"":""17,795.20"",""Self-Pay Rate"":""6,163.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""17,795.20"",""ConnectiCare Exchange Rate"":""16,794.39"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""0235T"",""DESC"":""ARTERY EA VES ATHER W-O RENAL"",""Revenue Code"":""481"",""Hospital Charge"":""20893.74"",""Minimum Rate"":""5,934.00"",""Maximum Rate"":""17,795.20"",""Self-Pay Rate"":""6,163.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""17,795.20"",""ConnectiCare Exchange Rate"":""16,794.39"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""0236T"",""DESC"":""ATHERECTOMY ABDOM AORTA"",""Revenue Code"":""481"",""Hospital Charge"":""31340.64"",""Minimum Rate"":""9,245.49"",""Maximum Rate"":""26,692.82"",""Self-Pay Rate"":""9,245.49"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""26,692.82"",""ConnectiCare Exchange Rate"":""25,191.61"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""0237T"",""DESC"":""ATHERECT BRACH TRUNK BRANCH"",""Revenue Code"":""481"",""Hospital Charge"":""20893.74"",""Minimum Rate"":""6,163.65"",""Maximum Rate"":""17,795.20"",""Self-Pay Rate"":""6,163.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""17,795.20"",""ConnectiCare Exchange Rate"":""16,794.39"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""0238T"",""DESC"":""ATHERECTOMY ILIAC EA VESSEL"",""Revenue Code"":""481"",""Hospital Charge"":""18804.38"",""Minimum Rate"":""5,547.29"",""Maximum Rate"":""16,015.69"",""Self-Pay Rate"":""5,547.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""16,015.69"",""ConnectiCare Exchange Rate"":""15,114.96"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""93451"",""DESC"":""RIGHT HEART CATH"",""Revenue Code"":""481"",""Hospital Charge"":""12744.25"",""Minimum Rate"":""3,759.55"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""3,759.55"",""Aetna Rate"":""7,835.16"",""Anthem HMO Rate"":""8,634.23"",""Anthem PPO Rate"":""8,634.23"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""10,854.28"",""ConnectiCare Exchange Rate"":""10,243.83"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93452"",""DESC"":""LEFT VENTRICULOGRAM"",""Revenue Code"":""481"",""Hospital Charge"":""21240.42"",""Minimum Rate"":""6,265.92"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""6,265.92"",""Aetna Rate"":""14,898.03"",""Anthem HMO Rate"":""14,390.38"",""Anthem PPO Rate"":""14,390.38"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""18,090.47"",""ConnectiCare Exchange Rate"":""17,073.05"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93453"",""DESC"":""RT HRT CATH W LT VENTRICULOGRM"",""Revenue Code"":""481"",""Hospital Charge"":""29736.58"",""Minimum Rate"":""8,772.29"",""Maximum Rate"":""25,326.65"",""Self-Pay Rate"":""8,772.29"",""Aetna Rate"":""20,857.24"",""Anthem HMO Rate"":""20,146.53"",""Anthem PPO Rate"":""20,146.53"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""25,326.65"",""ConnectiCare Exchange Rate"":""23,902.26"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93454"",""DESC"":""COR CATHETERIZATION (ONLY)"",""Revenue Code"":""481"",""Hospital Charge"":""12744.25"",""Minimum Rate"":""3,759.55"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""3,759.55"",""Aetna Rate"":""8,938.82"",""Anthem HMO Rate"":""8,634.23"",""Anthem PPO Rate"":""8,634.23"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""10,854.28"",""ConnectiCare Exchange Rate"":""10,243.83"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93455"",""DESC"":""COR CATH W GRAFT - LIMA"",""Revenue Code"":""481"",""Hospital Charge"":""16992.33"",""Minimum Rate"":""5,012.74"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""5,012.74"",""Aetna Rate"":""11,918.42"",""Anthem HMO Rate"":""11,512.30"",""Anthem PPO Rate"":""11,512.30"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""14,472.37"",""ConnectiCare Exchange Rate"":""13,658.43"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93456"",""DESC"":""COR CATH W RT HEART CATH"",""Revenue Code"":""481"",""Hospital Charge"":""25488.52"",""Minimum Rate"":""7,519.11"",""Maximum Rate"":""21,708.57"",""Self-Pay Rate"":""7,519.11"",""Aetna Rate"":""17,877.65"",""Anthem HMO Rate"":""17,268.47"",""Anthem PPO Rate"":""17,268.47"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""21,708.57"",""ConnectiCare Exchange Rate"":""20,487.67"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93457"",""DESC"":""COR CATH W GFT & RT HEART CATH"",""Revenue Code"":""481"",""Hospital Charge"":""29736.58"",""Minimum Rate"":""8,772.29"",""Maximum Rate"":""25,326.65"",""Self-Pay Rate"":""8,772.29"",""Aetna Rate"":""20,857.24"",""Anthem HMO Rate"":""20,146.53"",""Anthem PPO Rate"":""20,146.53"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""25,326.65"",""ConnectiCare Exchange Rate"":""23,902.26"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93458"",""DESC"":""COR CATH W LT HEART - COMPLETE"",""Revenue Code"":""481"",""Hospital Charge"":""35683.38"",""Minimum Rate"":""10,526.60"",""Maximum Rate"":""30,391.53"",""Self-Pay Rate"":""10,526.60"",""Aetna Rate"":""25,028.32"",""Anthem HMO Rate"":""24,175.49"",""Anthem PPO Rate"":""24,175.49"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""30,391.53"",""ConnectiCare Exchange Rate"":""28,682.30"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93459"",""DESC"":""COR CATH W LT HEART & GRAFT"",""Revenue Code"":""481"",""Hospital Charge"":""38232.75"",""Minimum Rate"":""11,278.66"",""Maximum Rate"":""32,562.83"",""Self-Pay Rate"":""11,278.66"",""Aetna Rate"":""26,816.45"",""Anthem HMO Rate"":""25,902.69"",""Anthem PPO Rate"":""25,902.69"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""32,562.83"",""ConnectiCare Exchange Rate"":""30,731.48"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93460"",""DESC"":""COR CATH W LT & RT HEART CATH"",""Revenue Code"":""481"",""Hospital Charge"":""42480.86"",""Minimum Rate"":""12,531.85"",""Maximum Rate"":""36,180.95"",""Self-Pay Rate"":""12,531.85"",""Aetna Rate"":""29,796.08"",""Anthem HMO Rate"":""28,780.78"",""Anthem PPO Rate"":""28,780.78"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""36,180.95"",""ConnectiCare Exchange Rate"":""34,146.12"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93461"",""DESC"":""COR CATH W LT&RT HART CATH-GFT"",""Revenue Code"":""481"",""Hospital Charge"":""46728.92"",""Minimum Rate"":""12,757.00"",""Maximum Rate"":""39,799.02"",""Self-Pay Rate"":""13,785.03"",""Aetna Rate"":""32,775.66"",""Anthem HMO Rate"":""31,658.84"",""Anthem PPO Rate"":""31,658.84"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""39,799.02"",""ConnectiCare Exchange Rate"":""37,560.71"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93451"",""DESC"":""EP RT HEART CATH"",""Revenue Code"":""481"",""Hospital Charge"":""12744.25"",""Minimum Rate"":""3,759.55"",""Maximum Rate"":""18,920.00"",""Self-Pay Rate"":""3,759.55"",""Aetna Rate"":""7,835.16"",""Anthem HMO Rate"":""8,634.23"",""Anthem PPO Rate"":""8,634.23"",""CIGNA Rate"":""18,920.00"",""ConnectiCare Commercial Rate"":""10,854.28"",""ConnectiCare Exchange Rate"":""10,243.83"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""93566"",""DESC"":""RT HEART INJECTION (ADD-ON CD)"",""Revenue Code"":""481"",""Hospital Charge"":""2804.17"",""Minimum Rate"":""827.23"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""827.23"",""Aetna Rate"":""1,966.84"",""Anthem HMO Rate"":""1,899.83"",""Anthem PPO Rate"":""1,899.83"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,388.31"",""ConnectiCare Exchange Rate"":""2,253.99"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""93567"",""DESC"":""AORTAGRAM (ADD-ON CODE)"",""Revenue Code"":""481"",""Hospital Charge"":""4985.19"",""Minimum Rate"":""1,470.63"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,470.63"",""Aetna Rate"":""3,496.61"",""Anthem HMO Rate"":""3,377.47"",""Anthem PPO Rate"":""3,377.47"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,245.89"",""ConnectiCare Exchange Rate"":""4,007.10"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""93568"",""DESC"":""INJECT PULMONRY ARTERY(ADD-ON)"",""Revenue Code"":""481"",""Hospital Charge"":""5919.92"",""Minimum Rate"":""1,746.38"",""Maximum Rate"":""5,042.00"",""Self-Pay Rate"":""1,746.38"",""Aetna Rate"":""4,152.23"",""Anthem HMO Rate"":""4,010.75"",""Anthem PPO Rate"":""4,010.75"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,042.00"",""ConnectiCare Exchange Rate"":""4,758.43"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""36569"",""DESC"":""PICC PERPH CENT CATH NON-TUN"",""Revenue Code"":""481"",""Hospital Charge"":""3500.53"",""Minimum Rate"":""1,032.66"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,032.66"",""Aetna Rate"":""2,152.13"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,981.40"",""ConnectiCare Exchange Rate"":""2,813.73"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""37184"",""DESC"":""THROMBECTOMY, PRIM ARTERY MECH"",""Revenue Code"":""481"",""Hospital Charge"":""21632.01"",""Minimum Rate"":""6,381.44"",""Maximum Rate"":""18,423.98"",""Self-Pay Rate"":""6,381.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""18,423.98"",""ConnectiCare Exchange Rate"":""17,387.81"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""75894"",""DESC"":""CL TRANSCATH THERAPY EMB S&I"",""Revenue Code"":""320"",""Hospital Charge"":""7374.16"",""Minimum Rate"":"" - "",""Maximum Rate"":""8,869.89"",""Self-Pay Rate"":""2,013.15"",""Aetna Rate"":""4,547.64"",""Anthem HMO Rate"":""1,823.87"",""Anthem PPO Rate"":""4,903.82"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""8,869.89"",""ConnectiCare Exchange Rate"":""8,284.43"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""75898"",""DESC"":""CL ANGIO EXIST CATH F-U THERA"",""Revenue Code"":""323"",""Hospital Charge"":""5316.28"",""Minimum Rate"":""242.45"",""Maximum Rate"":""3,827.71"",""Self-Pay Rate"":""1,451.34"",""Aetna Rate"":""3,278.55"",""Anthem HMO Rate"":""1,663.95"",""Anthem PPO Rate"":""3,535.33"",""CIGNA Rate"":""242.45"",""ConnectiCare Commercial Rate"":""412.27"",""ConnectiCare Exchange Rate"":""385.06"",""UnitedHealthcare\/Oxford Rate"":""3,827.71""},{""CPT-4"":""36248"",""DESC"":""SEL ABD-PEL-LE VAS FAM ADD"",""Revenue Code"":""481"",""Hospital Charge"":""1799.84"",""Minimum Rate"":""530.95"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""530.95"",""Aetna Rate"":""1,106.54"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,532.92"",""ConnectiCare Exchange Rate"":""1,446.71"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""75726"",""DESC"":""CL ARTERIO VISCERAL SEL S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""188.46"",""Maximum Rate"":""15,317.82"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""188.46"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""883.67"",""ConnectiCare Commercial Rate"":""792.41"",""ConnectiCare Exchange Rate"":""740.11"",""UnitedHealthcare\/Oxford Rate"":""15,317.82""},{""CPT-4"":""36002"",""DESC"":""INJ THROMBIN PSEUDOANEURYSM"",""Revenue Code"":""481"",""Hospital Charge"":""2778.43"",""Minimum Rate"":""819.64"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""819.64"",""Aetna Rate"":""1,708.18"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,366.39"",""ConnectiCare Exchange Rate"":""2,233.30"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""76942"",""DESC"":""US GUIDANCE FOR NDL BIOPSY"",""Revenue Code"":""402"",""Hospital Charge"":""2076.76"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,381.05"",""Self-Pay Rate"":""612.64"",""Aetna Rate"":""1,280.74"",""Anthem HMO Rate"":""54.72"",""Anthem PPO Rate"":""1,381.05"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""235.69"",""ConnectiCare Exchange Rate"":""220.13"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""37187"",""DESC"":""CL THROMBECTOMY, VENOUS INIT"",""Revenue Code"":""481"",""Hospital Charge"":""21632.01"",""Minimum Rate"":""6,381.44"",""Maximum Rate"":""18,423.98"",""Self-Pay Rate"":""6,381.44"",""Aetna Rate"":""13,299.36"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""18,423.98"",""ConnectiCare Exchange Rate"":""17,387.81"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37188"",""DESC"":""CL TROMBECT VENOUS MECH REPEAT"",""Revenue Code"":""481"",""Hospital Charge"":""21632.01"",""Minimum Rate"":""6,381.44"",""Maximum Rate"":""18,423.98"",""Self-Pay Rate"":""6,381.44"",""Aetna Rate"":""13,299.36"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""18,423.98"",""ConnectiCare Exchange Rate"":""17,387.81"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""36251"",""DESC"":""RENAL ANGIOGRAM UNILAT MAIN"",""Revenue Code"":""481"",""Hospital Charge"":""12967.35"",""Minimum Rate"":""3,825.37"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,825.37"",""Aetna Rate"":""7,972.33"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,044.29"",""ConnectiCare Exchange Rate"":""10,423.16"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""36252"",""DESC"":""RENAL ANGIOGRAM BILAT MAIN"",""Revenue Code"":""481"",""Hospital Charge"":""12967.35"",""Minimum Rate"":""3,825.37"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,825.37"",""Aetna Rate"":""7,972.33"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,044.29"",""ConnectiCare Exchange Rate"":""10,423.16"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""36253"",""DESC"":""RENAL ANGIO UNILAT SUPR SELECT"",""Revenue Code"":""481"",""Hospital Charge"":""12967.35"",""Minimum Rate"":""3,825.37"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""3,825.37"",""Aetna Rate"":""7,972.33"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,044.29"",""ConnectiCare Exchange Rate"":""10,423.16"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""36254"",""DESC"":""RENAL ANGIO BILAT SUPR SELECT"",""Revenue Code"":""481"",""Hospital Charge"":""12967.35"",""Minimum Rate"":""3,825.37"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,825.37"",""Aetna Rate"":""7,972.33"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,044.29"",""ConnectiCare Exchange Rate"":""10,423.16"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""37191"",""DESC"":""INSERT VENA CAVA FILTER"",""Revenue Code"":""481"",""Hospital Charge"":""19296.48"",""Minimum Rate"":""5,692.46"",""Maximum Rate"":""16,434.81"",""Self-Pay Rate"":""5,692.46"",""Aetna Rate"":""11,863.48"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""16,434.81"",""ConnectiCare Exchange Rate"":""15,510.51"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37192"",""DESC"":""VENA CAVA FILTER REPOSITION"",""Revenue Code"":""481"",""Hospital Charge"":""13242.11"",""Minimum Rate"":""3,906.42"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,906.42"",""Aetna Rate"":""8,141.25"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,278.31"",""ConnectiCare Exchange Rate"":""10,644.01"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""37193"",""DESC"":""VENA CAVA FILTER RETRIEVAL"",""Revenue Code"":""481"",""Hospital Charge"":""13242.11"",""Minimum Rate"":""3,906.42"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""3,906.42"",""Aetna Rate"":""8,141.25"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,278.31"",""ConnectiCare Exchange Rate"":""10,644.01"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""93463"",""DESC"":""DRUG ADMIN & HEMODYNAMIC MEASR"",""Revenue Code"":""481"",""Hospital Charge"":""2670.64"",""Minimum Rate"":""787.84"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""787.84"",""Aetna Rate"":""1,873.19"",""Anthem HMO Rate"":""1,809.36"",""Anthem PPO Rate"":""1,809.36"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""2,274.58"",""ConnectiCare Exchange Rate"":""2,146.66"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""93561"",""DESC"":""CARDIAC OUTPUT-THERMODILUTION"",""Revenue Code"":""481"",""Hospital Charge"":""926.08"",""Minimum Rate"":""273.19"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""273.19"",""Aetna Rate"":""649.55"",""Anthem HMO Rate"":""627.42"",""Anthem PPO Rate"":""627.42"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""788.74"",""ConnectiCare Exchange Rate"":""744.38"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""VIR PROC in CATH LAB"",""Revenue Code"":""481"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" - "",""ConnectiCare Exchange Rate"":"" - "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""92928"",""DESC"":""S-COR STNT DES WWO PTCA 1 VES"",""Revenue Code"":""481"",""Hospital Charge"":""29231.42"",""Minimum Rate"":""8,623.27"",""Maximum Rate"":""24,896.40"",""Self-Pay Rate"":""8,623.27"",""Aetna Rate"":""17,971.48"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""24,896.40"",""ConnectiCare Exchange Rate"":""23,496.22"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92929"",""DESC"":""S-COR STNT DES WWO PTCA EA VES"",""Revenue Code"":""481"",""Hospital Charge"":""29231.42"",""Minimum Rate"":""8,623.27"",""Maximum Rate"":""24,896.40"",""Self-Pay Rate"":""8,623.27"",""Aetna Rate"":""17,971.48"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""24,896.40"",""ConnectiCare Exchange Rate"":""23,496.22"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92928"",""DESC"":""S-COR STNT BMS WWO PTCA 1 VES"",""Revenue Code"":""481"",""Hospital Charge"":""29231.42"",""Minimum Rate"":""8,623.27"",""Maximum Rate"":""24,896.40"",""Self-Pay Rate"":""8,623.27"",""Aetna Rate"":""17,971.48"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""24,896.40"",""ConnectiCare Exchange Rate"":""23,496.22"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92929"",""DESC"":""S-COR STNT BMS WWO PTCA EA VES"",""Revenue Code"":""481"",""Hospital Charge"":""29231.42"",""Minimum Rate"":""8,623.27"",""Maximum Rate"":""24,896.40"",""Self-Pay Rate"":""8,623.27"",""Aetna Rate"":""17,971.48"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""24,896.40"",""ConnectiCare Exchange Rate"":""23,496.22"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92920"",""DESC"":""S-PTCA BALN SING ART"",""Revenue Code"":""481"",""Hospital Charge"":""16735.37"",""Minimum Rate"":""4,936.93"",""Maximum Rate"":""14,253.51"",""Self-Pay Rate"":""4,936.93"",""Aetna Rate"":""10,288.91"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""14,253.51"",""ConnectiCare Exchange Rate"":""13,451.89"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92921"",""DESC"":""S-PTCA BALN SING ART EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""16735.37"",""Minimum Rate"":""4,936.93"",""Maximum Rate"":""14,253.51"",""Self-Pay Rate"":""4,936.93"",""Aetna Rate"":""10,288.91"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""14,253.51"",""ConnectiCare Exchange Rate"":""13,451.89"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""0338T"",""DESC"":""RENAL DENERVATION UNILATERAL"",""Revenue Code"":""481"",""Hospital Charge"":""19079.42"",""Minimum Rate"":""5,628.43"",""Maximum Rate"":""16,249.94"",""Self-Pay Rate"":""5,628.43"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""16,249.94"",""ConnectiCare Exchange Rate"":""15,336.04"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""0339T"",""DESC"":""RENAL DENERVATION BILATERAL"",""Revenue Code"":""481"",""Hospital Charge"":""21464.35"",""Minimum Rate"":""6,331.98"",""Maximum Rate"":""18,281.19"",""Self-Pay Rate"":""6,331.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""18,281.19"",""ConnectiCare Exchange Rate"":""17,253.04"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""92924"",""DESC"":""S-ATH 1 VES PTCA"",""Revenue Code"":""481"",""Hospital Charge"":""31911.14"",""Minimum Rate"":""9,413.79"",""Maximum Rate"":""27,178.72"",""Self-Pay Rate"":""9,413.79"",""Aetna Rate"":""19,618.97"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""27,178.72"",""ConnectiCare Exchange Rate"":""25,650.17"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92925"",""DESC"":""S-ATH 1 VES PTCA EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""31911.14"",""Minimum Rate"":""9,413.79"",""Maximum Rate"":""27,178.72"",""Self-Pay Rate"":""9,413.79"",""Aetna Rate"":""19,618.97"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""27,178.72"",""ConnectiCare Exchange Rate"":""25,650.17"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92933"",""DESC"":""S-ATH W-PTCA DES STNT"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92934"",""DESC"":""S-ATH W-PTCA DES STNT EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92937"",""DESC"":""S-ATH W-PTCA DES STNT GFT"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92938"",""DESC"":""S-ATH W-PTCA DES STNT GFT EAAD"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37211"",""DESC"":""INFUSN THROMB ANY METH ARTERL"",""Revenue Code"":""481"",""Hospital Charge"":""5722.49"",""Minimum Rate"":""1,688.13"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""1,688.13"",""Aetna Rate"":""3,518.19"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,873.84"",""ConnectiCare Exchange Rate"":""4,599.74"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37212"",""DESC"":""INFUSN THROMB ANY METH VENOUS"",""Revenue Code"":""481"",""Hospital Charge"":""5722.49"",""Minimum Rate"":""1,688.13"",""Maximum Rate"":""12,459.00"",""Self-Pay Rate"":""1,688.13"",""Aetna Rate"":""3,518.19"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,873.84"",""ConnectiCare Exchange Rate"":""4,599.74"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""37213"",""DESC"":""INFUS THROMB ANY METH SUBS DAY"",""Revenue Code"":""481"",""Hospital Charge"":""7661.67"",""Minimum Rate"":""2,260.19"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""2,260.19"",""Aetna Rate"":""4,710.39"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,525.44"",""ConnectiCare Exchange Rate"":""6,158.45"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""37214"",""DESC"":""INFUS THRM ANY METH SUB DY WCN"",""Revenue Code"":""481"",""Hospital Charge"":""7661.67"",""Minimum Rate"":""2,260.19"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""2,260.19"",""Aetna Rate"":""4,710.39"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,525.44"",""ConnectiCare Exchange Rate"":""6,158.45"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""33990"",""DESC"":""IMPLANT VAD - IMPELLA"",""Revenue Code"":""481"",""Hospital Charge"":""6655.39"",""Minimum Rate"":""1,963.34"",""Maximum Rate"":""5,934.00"",""Self-Pay Rate"":""1,963.34"",""Aetna Rate"":""4,091.73"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,668.40"",""ConnectiCare Exchange Rate"":""5,349.60"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33992"",""DESC"":""REMOVAL VAD - IMPELLA"",""Revenue Code"":""481"",""Hospital Charge"":""6655.39"",""Minimum Rate"":""1,963.34"",""Maximum Rate"":""5,934.00"",""Self-Pay Rate"":""1,963.34"",""Aetna Rate"":""4,091.73"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,668.40"",""ConnectiCare Exchange Rate"":""5,349.60"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33993"",""DESC"":""VAD - IMPELLA SUBSQUNT REPOSIT"",""Revenue Code"":""481"",""Hospital Charge"":""7071.78"",""Minimum Rate"":""2,086.18"",""Maximum Rate"":""6,023.04"",""Self-Pay Rate"":""2,086.18"",""Aetna Rate"":""4,347.73"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""6,023.04"",""ConnectiCare Exchange Rate"":""5,684.30"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""92941"",""DESC"":""PAMI W ANY INTERVENTION"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92943"",""DESC"":""CTO W ANY INTERVEN SING VES"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92944"",""DESC"":""CTO W ANY INTERVENT EA ADD VES"",""Revenue Code"":""481"",""Hospital Charge"":""25418.64"",""Minimum Rate"":""7,498.50"",""Maximum Rate"":""21,649.06"",""Self-Pay Rate"":""7,498.50"",""Aetna Rate"":""15,627.38"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""21,649.06"",""ConnectiCare Exchange Rate"":""20,431.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""92986"",""DESC"":""VALVULOPLASTY BALN AORTIC PERC"",""Revenue Code"":""481"",""Hospital Charge"":""13557.26"",""Minimum Rate"":""3,999.39"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""3,999.39"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""5,876.39"",""Anthem PPO Rate"":""5,876.39"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,546.72"",""ConnectiCare Exchange Rate"":""10,897.33"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37236"",""DESC"":""STNT INSRT ARTERY INCL OTHER"",""Revenue Code"":""481"",""Hospital Charge"":""37860.29"",""Minimum Rate"":""11,168.79"",""Maximum Rate"":""32,245.61"",""Self-Pay Rate"":""11,168.79"",""Aetna Rate"":""23,276.51"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""32,245.61"",""ConnectiCare Exchange Rate"":""30,432.10"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37242"",""DESC"":""EMBOLIZATION OF ARTERY"",""Revenue Code"":""481"",""Hospital Charge"":""36710.13"",""Minimum Rate"":""10,829.49"",""Maximum Rate"":""31,266.02"",""Self-Pay Rate"":""10,829.49"",""Aetna Rate"":""22,569.39"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""31,266.02"",""ConnectiCare Exchange Rate"":""29,507.60"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37237"",""DESC"":""STNT INSRT ART INCL ASS S OTHR"",""Revenue Code"":""481"",""Hospital Charge"":""18309.74"",""Minimum Rate"":""5,401.37"",""Maximum Rate"":""15,594.41"",""Self-Pay Rate"":""5,401.37"",""Aetna Rate"":""11,256.83"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,594.41"",""ConnectiCare Exchange Rate"":""14,717.37"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""93799"",""DESC"":""CARDIOVASC PROCEDURE PVL"",""Revenue Code"":""481"",""Hospital Charge"":""2007.3"",""Minimum Rate"":""432.65"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""592.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""432.65"",""ConnectiCare Commercial Rate"":""1,709.62"",""Connecti" "are Exchange Rate"":""1,613.47"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""37241"",""DESC"":""VASC EMBOLIZ-OCCLUD VENOUS"",""Revenue Code"":""481"",""Hospital Charge"":""34962.05"",""Minimum Rate"":""10,313.80"",""Maximum Rate"":""29,777.18"",""Self-Pay Rate"":""10,313.80"",""Aetna Rate"":""21,494.67"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""29,777.18"",""ConnectiCare Exchange Rate"":""28,102.50"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""93580"",""DESC"":""TRANSCATH CLOSUR OF ASD"",""Revenue Code"":""481"",""Hospital Charge"":""50559.71"",""Minimum Rate"":""11,864.00"",""Maximum Rate"":""43,061.71"",""Self-Pay Rate"":""14,915.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""34,254.20"",""Anthem PPO Rate"":""34,254.20"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""43,061.71"",""ConnectiCare Exchange Rate"":""40,639.89"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37218"",""DESC"":""ANTE CARTD STNT W ANGPLAS GUID"",""Revenue Code"":""481"",""Hospital Charge"":""17466.18"",""Minimum Rate"":""5,152.52"",""Maximum Rate"":""14,875.95"",""Self-Pay Rate"":""5,152.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""14,875.95"",""ConnectiCare Exchange Rate"":""14,039.32"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33361"",""DESC"":""AORTIC VLVE REPLC PERC FEM ART"",""Revenue Code"":""481"",""Hospital Charge"":""18513"",""Minimum Rate"":""5,461.34"",""Maximum Rate"":""15,767.52"",""Self-Pay Rate"":""5,461.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,767.52"",""ConnectiCare Exchange Rate"":""14,880.75"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33366"",""DESC"":""AORTIC VLVE REPLC TRANSAPICAL"",""Revenue Code"":""481"",""Hospital Charge"":""18513"",""Minimum Rate"":""5,461.34"",""Maximum Rate"":""15,767.52"",""Self-Pay Rate"":""5,461.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,767.52"",""ConnectiCare Exchange Rate"":""14,880.75"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33365"",""DESC"":""AORTIC VLVE REPLC TRANSAORTIC"",""Revenue Code"":""481"",""Hospital Charge"":""18513"",""Minimum Rate"":""5,461.34"",""Maximum Rate"":""15,767.52"",""Self-Pay Rate"":""5,461.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""15,767.52"",""ConnectiCare Exchange Rate"":""14,880.75"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""36225"",""DESC"":""PLC CATH SUBCLAV ART ANGIO"",""Revenue Code"":""481"",""Hospital Charge"":""16159.79"",""Minimum Rate"":""4,767.14"",""Maximum Rate"":""13,763.29"",""Self-Pay Rate"":""4,767.14"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""13,763.29"",""ConnectiCare Exchange Rate"":""12,989.24"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""75600"",""DESC"":""AORTOGRAM THORAC W-O SER S&I"",""Revenue Code"":""323"",""Hospital Charge"":""15397.47"",""Minimum Rate"":""350.98"",""Maximum Rate"":""10,239.32"",""Self-Pay Rate"":""4,203.51"",""Aetna Rate"":""9,495.62"",""Anthem HMO Rate"":""350.98"",""Anthem PPO Rate"":""10,239.32"",""CIGNA Rate"":""1,282.89"",""ConnectiCare Commercial Rate"":""1,617.60"",""ConnectiCare Exchange Rate"":""1,510.83"",""UnitedHealthcare\/Oxford Rate"":""9,245.32""},{""CPT-4"":""33289"",""DESC"":""CARDIO MEMS PROCEDURE"",""Revenue Code"":""481"",""Hospital Charge"":""59426.75"",""Minimum Rate"":""11,864.00"",""Maximum Rate"":""50,613.76"",""Self-Pay Rate"":""17,530.89"",""Aetna Rate"":""36,535.57"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""50,613.76"",""ConnectiCare Exchange Rate"":""47,767.22"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""76120"",""DESC"":""CINERAD -VIDEORAD SPEC INCLUDE"",""Revenue Code"":""320"",""Hospital Charge"":""406.07"",""Minimum Rate"":""110.86"",""Maximum Rate"":""825.19"",""Self-Pay Rate"":""110.86"",""Aetna Rate"":""250.42"",""Anthem HMO Rate"":""142.44"",""Anthem PPO Rate"":""270.04"",""CIGNA Rate"":""344.10"",""ConnectiCare Commercial Rate"":""825.19"",""ConnectiCare Exchange Rate"":""770.72"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""76000"",""DESC"":""FLUOROSCOPY > 1 HOUR SEP PROC"",""Revenue Code"":""320"",""Hospital Charge"":""1375.33"",""Minimum Rate"":""77.02"",""Maximum Rate"":""914.59"",""Self-Pay Rate"":""375.47"",""Aetna Rate"":""848.17"",""Anthem HMO Rate"":""77.02"",""Anthem PPO Rate"":""914.59"",""CIGNA Rate"":""332.28"",""ConnectiCare Commercial Rate"":""242.29"",""ConnectiCare Exchange Rate"":""226.30"",""UnitedHealthcare\/Oxford Rate"":""806.96""},{""CPT-4"":""37252"",""DESC"":""US VASC NON-CORONARY INITIAL"",""Revenue Code"":""402"",""Hospital Charge"":""5837.71"",""Minimum Rate"":""1,722.12"",""Maximum Rate"":""1,722.12"",""Self-Pay Rate"":""1,722.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""37253"",""DESC"":""US VASC NON-CORONARY EA ADD"",""Revenue Code"":""402"",""Hospital Charge"":""5501.16"",""Minimum Rate"":""1,622.84"",""Maximum Rate"":""1,622.84"",""Self-Pay Rate"":""1,622.84"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""37246"",""DESC"":""ANGIOPLSTY BALN ARTERY INIT"",""Revenue Code"":""481"",""Hospital Charge"":""17254.34"",""Minimum Rate"":""5,090.03"",""Maximum Rate"":""14,695.52"",""Self-Pay Rate"":""5,090.03"",""Aetna Rate"":""10,607.97"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""14,695.52"",""ConnectiCare Exchange Rate"":""13,869.04"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37247"",""DESC"":""ANGIOPLSTY BALN ARTERY EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""13595.23"",""Minimum Rate"":""4,010.59"",""Maximum Rate"":""11,579.06"",""Self-Pay Rate"":""4,010.59"",""Aetna Rate"":""8,358.35"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""11,579.06"",""ConnectiCare Exchange Rate"":""10,927.85"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""37248"",""DESC"":""PTA VENOUS INITIAL"",""Revenue Code"":""481"",""Hospital Charge"":""17254.34"",""Minimum Rate"":""5,090.03"",""Maximum Rate"":""14,695.52"",""Self-Pay Rate"":""5,090.03"",""Aetna Rate"":""10,607.97"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""14,695.52"",""ConnectiCare Exchange Rate"":""13,869.04"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""37249"",""DESC"":""TRANSLM BALN ANGIO VEIN EA ADD"",""Revenue Code"":""481"",""Hospital Charge"":""4531.74"",""Minimum Rate"":""1,336.86"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,336.86"",""Aetna Rate"":""2,786.11"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""3,859.68"",""ConnectiCare Exchange Rate"":""3,642.61"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""99152"",""DESC"":""MOD SEDATION INIT 15MIN > 5Y"",""Revenue Code"":""481"",""Hospital Charge"":""1073.53"",""Minimum Rate"":""316.69"",""Maximum Rate"":""914.33"",""Self-Pay Rate"":""316.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""914.33"",""ConnectiCare Exchange Rate"":""862.90"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99153"",""DESC"":""MOD SEDATION EA ADD 15MIN"",""Revenue Code"":""481"",""Hospital Charge"":""330.5"",""Minimum Rate"":""97.50"",""Maximum Rate"":""281.49"",""Self-Pay Rate"":""97.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""281.49"",""ConnectiCare Exchange Rate"":""265.66"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""17999"",""DESC"":""POCKET REVISION - LOOP RECORDR"",""Revenue Code"":""481"",""Hospital Charge"":""1697"",""Minimum Rate"":""500.62"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""500.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,445.33"",""ConnectiCare Exchange Rate"":""1,364.05"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""33999"",""DESC"":""INSERT IMPELLA RP-UNLISTD PROC"",""Revenue Code"":""481"",""Hospital Charge"":""6770.05"",""Minimum Rate"":""1,997.16"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,997.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,766.05"",""ConnectiCare Exchange Rate"":""5,441.77"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""92987"",""DESC"":""PERC BALN VALVULOPLASTY MITRAL"",""Revenue Code"":""481"",""Hospital Charge"":""49507.28"",""Minimum Rate"":""11,864.00"",""Maximum Rate"":""42,165.35"",""Self-Pay Rate"":""14,604.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""21,458.93"",""Anthem PPO Rate"":""21,458.93"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""42,165.35"",""ConnectiCare Exchange Rate"":""39,793.95"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""10140"",""DESC"":""I&D HEMATOMA-SEROMA-FLUID COLC"",""Revenue Code"":""481"",""Hospital Charge"":""6675.55"",""Minimum Rate"":""960.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""1,969.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""33952"",""DESC"":""ECMO INSERT PERIPH CANN 6YR&>"",""Revenue Code"":""481"",""Hospital Charge"":""1980.91"",""Minimum Rate"":""584.37"",""Maximum Rate"":""5,934.00"",""Self-Pay Rate"":""584.37"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,687.14"",""ConnectiCare Exchange Rate"":""1,592.26"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""33016"",""DESC"":""PERICARDIOCENTESIS W IMAGE"",""Revenue Code"":""481"",""Hospital Charge"":""6849.99"",""Minimum Rate"":""2,020.75"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""2,020.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,834.14"",""ConnectiCare Exchange Rate"":""5,506.02"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""33017"",""DESC"":""PERICARD DRNG W INSRT CATH"",""Revenue Code"":""481"",""Hospital Charge"":""6849.99"",""Minimum Rate"":""2,020.75"",""Maximum Rate"":""5,934.00"",""Self-Pay Rate"":""2,020.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""5,834.14"",""ConnectiCare Exchange Rate"":""5,506.02"",""UnitedHealthcare\/Oxford Rate"":""5,934.00""},{""CPT-4"":""85610"",""DESC"":""PROTHROMBIN TIME (PT)"",""Revenue Code"":""305"",""Hospital Charge"":""108"",""Minimum Rate"":""4.98"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.01"",""Aetna Rate"":""11.67"",""Anthem HMO Rate"":""4.98"",""Anthem PPO Rate"":""4.98"",""CIGNA Rate"":""11.56"",""ConnectiCare Commercial Rate"":""27.90"",""ConnectiCare Exchange Rate"":""5.34"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE GENERAL"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""90707"",""DESC"":""VACN MMR (MEASLES MUMPS RUBEL)"",""Revenue Code"":""636"",""Hospital Charge"":""474.54"",""Minimum Rate"":"" - "",""Maximum Rate"":""196.33"",""Self-Pay Rate"":""95.38"",""Aetna Rate"":""182.38"",""Anthem HMO Rate"":""196.33"",""Anthem PPO Rate"":""196.33"",""CIGNA Rate"":""178.00"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""15851"",""DESC"":""SUTURE-STAPLE REMOVAL"",""Revenue Code"":""761"",""Hospital Charge"":""384.76"",""Minimum Rate"":""113.50"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""113.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""327.70"",""ConnectiCare Exchange Rate"":""309.27"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE PNEUMOCOCCAL"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE HEPATITIS B"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""10060"",""DESC"":""I & D ABSCESS SIMPLE SINGLE"",""Revenue Code"":""361"",""Hospital Charge"":""911.22"",""Minimum Rate"":""355.38"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""355.38"",""Aetna Rate"":""421.26"",""Anthem HMO Rate"":""490.24"",""Anthem PPO Rate"":""523.22"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""776.09"",""ConnectiCare Exchange Rate"":""732.44"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE A"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE B"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE C"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE D"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE E"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""OPD - CODE F"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""83036"",""DESC"":""HGB (FINGERSTICK)"",""Revenue Code"":""300"",""Hospital Charge"":""111.56"",""Minimum Rate"":""12.31"",""Maximum Rate"":""68.95"",""Self-Pay Rate"":""19.63"",""Aetna Rate"":""28.82"",""Anthem HMO Rate"":""12.31"",""Anthem PPO Rate"":""12.31"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""68.95"",""ConnectiCare Exchange Rate"":""13.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""83036"",""DESC"":""HGB (FINGERSTICK)"",""Revenue Code"":""300"",""Hospital Charge"":""111.56"",""Minimum Rate"":""12.31"",""Maximum Rate"":""68.95"",""Self-Pay Rate"":""19.63"",""Aetna Rate"":""28.82"",""Anthem HMO Rate"":""12.31"",""Anthem PPO Rate"":""12.31"",""CIGNA Rate"":""28.85"",""ConnectiCare Commercial Rate"":""68.95"",""ConnectiCare Exchange Rate"":""13.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""99201"",""DESC"":""VISIT NEW PT -FOCUSED- LVL 1"",""Revenue Code"":""510"",""Hospital Charge"":""429.87"",""Minimum Rate"":""126.81"",""Maximum Rate"":""126.81"",""Self-Pay Rate"":""126.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99202"",""DESC"":""VISIT NEW PT-EXPANDED-LVL 2"",""Revenue Code"":""510"",""Hospital Charge"":""262.03"",""Minimum Rate"":""77.30"",""Maximum Rate"":""77.30"",""Self-Pay Rate"":""77.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99203"",""DESC"":""VISIT NEW PT-DETAILED-LVL 3"",""Revenue Code"":""510"",""Hospital Charge"":""621.39"",""Minimum Rate"":""183.31"",""Maximum Rate"":""183.31"",""Self-Pay Rate"":""183.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99204"",""DESC"":""VISIT NEW PT-COMPREH-LVL 4"",""Revenue Code"":""510"",""Hospital Charge"":""456.81"",""Minimum Rate"":""134.76"",""Maximum Rate"":""134.76"",""Self-Pay Rate"":""134.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99205"",""DESC"":""VISIT NEW PT-COMPLEX-LVL 5"",""Revenue Code"":""510"",""Hospital Charge"":""426.08"",""Minimum Rate"":""125.69"",""Maximum Rate"":""125.69"",""Self-Pay Rate"":""125.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99211"",""DESC"":""VISIT ESTAB PT-FOCUSED-LVL 1"",""Revenue Code"":""510"",""Hospital Charge"":""196.46"",""Minimum Rate"":""57.96"",""Maximum Rate"":""57.96"",""Self-Pay Rate"":""57.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99212"",""DESC"":""VISIT ESTAB PT-EXPANDED-LVL 2"",""Revenue Code"":""510"",""Hospital Charge"":""305.05"",""Minimum Rate"":""89.99"",""Maximum Rate"":""89.99"",""Self-Pay Rate"":""89.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99213"",""DESC"":""VISIT ESTAB PT-DETAILED-LVL 3"",""Revenue Code"":""510"",""Hospital Charge"":""356.25"",""Minimum Rate"":""105.09"",""Maximum Rate"":""105.09"",""Self-Pay Rate"":""105.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""81025"",""DESC"":""URINE FOR HCG (PREGNANCY)"",""Revenue Code"":""300"",""Hospital Charge"":""195.79"",""Minimum Rate"":""8.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""34.46"",""Aetna Rate"":""18.79"",""Anthem HMO Rate"":""8.03"",""Anthem PPO Rate"":""8.03"",""CIGNA Rate"":""18.76"",""ConnectiCare Commercial Rate"":""59.40"",""ConnectiCare Exchange Rate"":""9.47"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""99214"",""DESC"":""VISIT ESTAB PT-COMPREH-LVL 4"",""Revenue Code"":""510"",""Hospital Charge"":""359.63"",""Minimum Rate"":""106.09"",""Maximum Rate"":""106.09"",""Self-Pay Rate"":""106.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99215"",""DESC"":""VISIT ESTAB PT-COMPLEX-LVL 5"",""Revenue Code"":""510"",""Hospital Charge"":""327.09"",""Minimum Rate"":""96.49"",""Maximum Rate"":""96.49"",""Self-Pay Rate"":""96.49"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VISIT ESTAB PT - POST-OP"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""G0268"",""DESC"":""CERUMEN(EAR WAX) REMOVAL IMPAC"",""Revenue Code"":""510"",""Hospital Charge"":""191.52"",""Minimum Rate"":""56.50"",""Maximum Rate"":""298.79"",""Self-Pay Rate"":""56.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""298.79"",""ConnectiCare Exchange Rate"":""279.06"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""54450"",""DESC"":""FORESKIN MANIPULATION"",""Revenue Code"":""761"",""Hospital Charge"":""694.69"",""Minimum Rate"":""204.93"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""204.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""591.67"",""ConnectiCare Exchange Rate"":""558.39"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""82948"",""DESC"":""FSG (FINGER STICK GLUCOSE)"",""Revenue Code"":""300"",""Hospital Charge"":""39.69"",""Minimum Rate"":""4.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""6.99"",""Aetna Rate"":""9.42"",""Anthem HMO Rate"":""4.02"",""Anthem PPO Rate"":""4.02"",""CIGNA Rate"":""9.36"",""ConnectiCare Commercial Rate"":""40.60"",""ConnectiCare Exchange Rate"":""5.54"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""20610"",""DESC"":""ARTHROCNTS ASP LRG JNT WO US"",""Revenue Code"":""761"",""Hospital Charge"":""2809.61"",""Minimum Rate"":""828.83"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""828.83"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,392.94"",""ConnectiCare Exchange Rate"":""2,258.36"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""20552"",""DESC"":""TRIGGER POINT INJECT 1-2 MUSC"",""Revenue Code"":""510"",""Hospital Charge"":""497.73"",""Minimum Rate"":""146.83"",""Maximum Rate"":""146.83"",""Self-Pay Rate"":""146.83"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""82270"",""DESC"":""HEMOCULT - OCCULT BLOOD FECES"",""Revenue Code"":""300"",""Hospital Charge"":""108.51"",""Minimum Rate"":""4.14"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""19.10"",""Aetna Rate"":""9.65"",""Anthem HMO Rate"":""4.14"",""Anthem PPO Rate"":""4.14"",""CIGNA Rate"":""10.12"",""ConnectiCare Commercial Rate"":""30.24"",""ConnectiCare Exchange Rate"":""4.82"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""87430"",""DESC"":""RAPID STREP"",""Revenue Code"":""300"",""Hospital Charge"":""153.66"",""Minimum Rate"":""15.22"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""27.04"",""Aetna Rate"":""35.63"",""Anthem HMO Rate"":""15.22"",""Anthem PPO Rate"":""15.22"",""CIGNA Rate"":""36.10"",""ConnectiCare Commercial Rate"":""19.33"",""ConnectiCare Exchange Rate"":""18.49"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""69200"",""DESC"":""FB REM EXT AUD CANL, W-OGENANS"",""Revenue Code"":""361"",""Hospital Charge"":""471.25"",""Minimum Rate"":""183.79"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""183.79"",""Aetna Rate"":""217.86"",""Anthem HMO Rate"":""253.53"",""Anthem PPO Rate"":""270.59"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""401.36"",""ConnectiCare Exchange Rate"":""378.79"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""81000"",""DESC"":""URINALYSIS BY DIPSTICK"",""Revenue Code"":""300"",""Hospital Charge"":""85.19"",""Minimum Rate"":""4.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""14.99"",""Aetna Rate"":""9.42"",""Anthem HMO Rate"":""4.02"",""Anthem PPO Rate"":""4.02"",""CIGNA Rate"":""9.36"",""ConnectiCare Commercial Rate"":""27.72"",""ConnectiCare Exchange Rate"":""4.42"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""82044"",""DESC"":""MICROALBUMIN"",""Revenue Code"":""300"",""Hospital Charge"":""190.33"",""Minimum Rate"":""5.81"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""33.50"",""Aetna Rate"":""13.58"",""Anthem HMO Rate"":""5.81"",""Anthem PPO Rate"":""5.81"",""CIGNA Rate"":""13.70"",""ConnectiCare Commercial Rate"":""7.16"",""ConnectiCare Exchange Rate"":""6.85"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""87210"",""DESC"":""WET MOUNT"",""Revenue Code"":""300"",""Hospital Charge"":""181.43"",""Minimum Rate"":""5.42"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""31.93"",""Aetna Rate"":""12.67"",""Anthem HMO Rate"":""5.42"",""Anthem PPO Rate"":""5.42"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""13.38"",""ConnectiCare Exchange Rate"":""6.40"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""90658"",""DESC"":""VACN FLU VIRUS-FLUZONE ADLT PF"",""Revenue Code"":""636"",""Hospital Charge"":""142.07"",""Minimum Rate"":"" - "",""Maximum Rate"":""42.21"",""Self-Pay Rate"":""28.56"",""Aetna Rate"":""37.27"",""Anthem HMO Rate"":""42.21"",""Anthem PPO Rate"":""42.21"",""CIGNA Rate"":""36.46"",""ConnectiCare Commercial Rate"":""20.26"",""ConnectiCare Exchange Rate"":""19.78"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90471"",""DESC"":""ADMIN VACCINE INFLUENZA"",""Revenue Code"":""771"",""Hospital Charge"":""121.29"",""Minimum Rate"":""35.78"",""Maximum Rate"":""103.30"",""Self-Pay Rate"":""35.78"",""Aetna Rate"":""82.97"",""Anthem HMO Rate"":""82.17"",""Anthem PPO Rate"":""82.17"",""CIGNA Rate"":""81.18"",""ConnectiCare Commercial Rate"":""103.30"",""ConnectiCare Exchange Rate"":""97.49"",""UnitedHealthcare\/Oxford Rate"":""101.00""},{""CPT-4"":""90733"",""DESC"":""VACN MENINGOCCAL 4MG-.5ML VL"",""Revenue Code"":""636"",""Hospital Charge"":""1233.77"",""Minimum Rate"":"" - "",""Maximum Rate"":""360.76"",""Self-Pay Rate"":""247.99"",""Aetna Rate"":""286.57"",""Anthem HMO Rate"":""360.76"",""Anthem PPO Rate"":""360.76"",""CIGNA Rate"":""278.66"",""ConnectiCare Commercial Rate"":""189.87"",""ConnectiCare Exchange Rate"":""185.35"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""90732"",""DESC"":""VACN PNEUMOCOCC 25MCG-0.5ML"",""Revenue Code"":""636"",""Hospital Charge"":""637.13"",""Minimum Rate"":""128.06"",""Maximum Rate"":""455.70"",""Self-Pay Rate"":""128.06"",""Aetna Rate"":""273.83"",""Anthem HMO Rate"":""263.46"",""Anthem PPO Rate"":""263.46"",""CIGNA Rate"":""237.98"",""ConnectiCare Commercial Rate"":""213.82"",""ConnectiCare Exchange Rate"":""208.72"",""UnitedHealthcare\/Oxford Rate"":""455.70""},{""CPT-4"":""86580"",""DESC"":""PPD"",""Revenue Code"":""300"",""Hospital Charge"":""3.8"",""Minimum Rate"":""0.67"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""0.67"",""Aetna Rate"":""20.60"",""Anthem HMO Rate"":""8.41"",""Anthem PPO Rate"":""8.41"",""CIGNA Rate"":""16.67"",""ConnectiCare Commercial Rate"":""10.65"",""ConnectiCare Exchange Rate"":""10.19"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""90746"",""DESC"":""VACN HEPAT B 10MCG-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""306.14"",""Minimum Rate"":""61.53"",""Maximum Rate"":""264.67"",""Self-Pay Rate"":""61.53"",""Aetna Rate"":""159.04"",""Anthem HMO Rate"":""180.05"",""Anthem PPO Rate"":""180.05"",""CIGNA Rate"":""138.51"",""ConnectiCare Commercial Rate"":""124.19"",""ConnectiCare Exchange Rate"":""121.23"",""UnitedHealthcare\/Oxford Rate"":""264.67""},{""CPT-4"":""(blank)"",""DESC"":""POST OP EXAM - VISIT"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""J1030"",""DESC"":""METHYLPRED 40MG - ML (#1)"",""Revenue Code"":""636"",""Hospital Charge"":""37.14"",""Minimum Rate"":"" - "",""Maximum Rate"":""16.02"",""Self-Pay Rate"":""7.47"",""Aetna Rate"":""13.97"",""Anthem HMO Rate"":""16.02"",""Anthem PPO Rate"":""16.02"",""CIGNA Rate"":""11.88"",""ConnectiCare Commercial Rate"":""10.87"",""ConnectiCare Exchange Rate"":""10.61"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""J0150"",""DESC"":""DEPOPROVERA 150MG"",""Revenue Code"":""250"",""Hospital Charge"":""225.49"",""Minimum Rate"":""9.96"",""Maximum Rate"":""66.52"",""Self-Pay Rate"":""66.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""17.66"",""ConnectiCare Commercial Rate"":""10.21"",""ConnectiCare Exchange Rate"":""9.96"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""90632"",""DESC"":""VACN HEPATITIS A 50U-ML ADULT"",""Revenue Code"":""636"",""Hospital Charge"":""432.04"",""Minimum Rate"":"" - "",""Maximum Rate"":""157.42"",""Self-Pay Rate"":""86.84"",""Aetna Rate"":""133.44"",""Anthem HMO Rate"":""154.42"",""Anthem PPO Rate"":""154.42"",""CIGNA Rate"":""157.42"",""ConnectiCare Commercial Rate"":""109.17"",""ConnectiCare Exchange Rate"":""106.57"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""51702"",""DESC"":""CATHETERIZE URETHRA TEMP SIMPL"",""Revenue Code"":""761"",""Hospital Charge"":""569.25"",""Minimum Rate"":""167.93"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""167.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""484.83"",""ConnectiCare Exchange Rate"":""457.56"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""POST-OP EXAM - VISIT"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10061"",""DESC"":""I & D ABSCESS COMPLEX-MULTIPLE"",""Revenue Code"":""761"",""Hospital Charge"":""1599.62"",""Minimum Rate"":""471.89"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""471.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,362.40"",""ConnectiCare Exchange Rate"":""1,285.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10080"",""DESC"":""I & D PILONIDAL CYST SIMPLE"",""Revenue Code"":""761"",""Hospital Charge"":""825.69"",""Minimum Rate"":""243.58"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""243.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""703.24"",""ConnectiCare Exchange Rate"":""663.69"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10120"",""DESC"":""INCISION & REMOVAL F.B. SIMPLE"",""Revenue Code"":""761"",""Hospital Charge"":""675.64"",""Minimum Rate"":""199.31"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""199.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""575.44"",""ConnectiCare Exchange Rate"":""543.08"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10140"",""DESC"":""I&D HEMAT-SEROMA-FLUID COL"",""Revenue Code"":""761"",""Hospital Charge"":""6675.55"",""Minimum Rate"":""818.00"",""Maximum Rate"":""1,969.29"",""Self-Pay Rate"":""1,969.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10160"",""DESC"":""ASPIRATE PUNC ABSCESS HEMATOMA"",""Revenue Code"":""761"",""Hospital Charge"":""4745.9"",""Minimum Rate"":""818.00"",""Maximum Rate"":""4,042.08"",""Self-Pay Rate"":""1,400.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""4,042.08"",""ConnectiCare Exchange Rate"":""3,814.75"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10180"",""DESC"":""I&D WOUND POST-OP COMPLEX"",""Revenue Code"":""761"",""Hospital Charge"":""2713.4"",""Minimum Rate"":""800.45"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""800.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""2,311.00"",""ConnectiCare Exchange Rate"":""2,181.03"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11000"",""DESC"":""DEBRIDEMENT SKIN<10% BODY SURF"",""Revenue Code"":""761"",""Hospital Charge"":""354.59"",""Minimum Rate"":""104.60"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""104.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""302.00"",""ConnectiCare Exchange Rate"":""285.02"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11042"",""DESC"":""DEBRIDEMENT SKIN SUB-Q TISSUE"",""Revenue Code"":""761"",""Hospital Charge"":""1957.46"",""Minimum Rate"":""577.45"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""577.45"",""Aetna Rate"":""904.93"",""Anthem HMO Rate"":""1,053.11"",""Anthem PPO Rate"":""1,123.97"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""1,667.17"",""ConnectiCare Exchange Rate"":""1,573.41"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11400"",""DESC"":""EXCIS LESN BENIGN TRUNK <.5CM"",""Revenue Code"":""761"",""Hospital Charge"":""1348.35"",""Minimum Rate"":""397.76"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""397.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCa" "e Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11401"",""DESC"":""EXC BENIGN LSN ARM-LEG .6-1CM"",""Revenue Code"":""761"",""Hospital Charge"":""1195.73"",""Minimum Rate"":""352.74"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""352.74"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11402"",""DESC"":""EXCIS.BEN.LES.,ARM,LEG-1.1-2.0"",""Revenue Code"":""761"",""Hospital Charge"":""1313.68"",""Minimum Rate"":""387.54"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""387.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,118.86"",""ConnectiCare Exchange Rate"":""1,055.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11420"",""DESC"":""EXC LESN BENIGN SCALP-HAND <.5"",""Revenue Code"":""761"",""Hospital Charge"":""700.28"",""Minimum Rate"":""206.58"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""206.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11421"",""DESC"":""EXC.BENIGN LES,HAND,FEET.6-1CM"",""Revenue Code"":""761"",""Hospital Charge"":""1106.2"",""Minimum Rate"":""326.33"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""326.33"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11422"",""DESC"":""EXC BEN LESN HAND-FEET 1.1-2CM"",""Revenue Code"":""761"",""Hospital Charge"":""1564.15"",""Minimum Rate"":""461.42"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""461.42"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11440"",""DESC"":""EXC LESN BEGN FACE-EAR <0.5CM"",""Revenue Code"":""761"",""Hospital Charge"":""769.05"",""Minimum Rate"":""226.87"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""226.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""655.00"",""ConnectiCare Exchange Rate"":""618.16"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11441"",""DESC"":""EXC.BENIGN LES.FACE .6-1.0 CM"",""Revenue Code"":""761"",""Hospital Charge"":""1313.68"",""Minimum Rate"":""387.54"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""387.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,118.86"",""ConnectiCare Exchange Rate"":""1,055.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11442"",""DESC"":""EXC LESN BENGN FACE 1.1-2.0 CM"",""Revenue Code"":""761"",""Hospital Charge"":""1397.05"",""Minimum Rate"":""412.13"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""412.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,189.87"",""ConnectiCare Exchange Rate"":""1,122.95"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""16000"",""DESC"":""BURN INIT RX 1ST DEG LOCAL"",""Revenue Code"":""361"",""Hospital Charge"":""725.97"",""Minimum Rate"":""283.13"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""283.13"",""Aetna Rate"":""335.62"",""Anthem HMO Rate"":""390.57"",""Anthem PPO Rate"":""416.85"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""618.31"",""ConnectiCare Exchange Rate"":""583.53"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""16020"",""DESC"":""BURN RX OR DEBRID W-O ANES SML"",""Revenue Code"":""361"",""Hospital Charge"":""827.69"",""Minimum Rate"":""322.80"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""322.80"",""Aetna Rate"":""382.64"",""Anthem HMO Rate"":""445.30"",""Anthem PPO Rate"":""475.26"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""704.94"",""ConnectiCare Exchange Rate"":""665.30"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""19000"",""DESC"":""ASPIRATE PUNCTURE BREAST CYST"",""Revenue Code"":""361"",""Hospital Charge"":""4983.21"",""Minimum Rate"":""960.00"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,943.45"",""Aetna Rate"":""2,303.74"",""Anthem HMO Rate"":""2,680.97"",""Anthem PPO Rate"":""2,861.36"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""960.00"",""ConnectiCare Exchange Rate"":""960.00"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""19001"",""DESC"":""PUNC ASPIRAT BREAST CYST EA AD"",""Revenue Code"":""361"",""Hospital Charge"":""1637.38"",""Minimum Rate"":""638.58"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""638.58"",""Aetna Rate"":""756.96"",""Anthem HMO Rate"":""880.91"",""Anthem PPO Rate"":""940.18"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,394.56"",""ConnectiCare Exchange Rate"":""1,316.13"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""46600"",""DESC"":""ANOSCOPY, DX W & W-O COL SPEC"",""Revenue Code"":""750"",""Hospital Charge"":""226.87"",""Minimum Rate"":""66.93"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""66.93"",""Aetna Rate"":""2,065.00"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""2,750.00"",""ConnectiCare Exchange Rate"":""2,750.00"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""10021"",""DESC"":""FINE NEEDLE ASPIRAT W-O IMAGE"",""Revenue Code"":""761"",""Hospital Charge"":""512.94"",""Minimum Rate"":""151.32"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""151.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""436.87"",""ConnectiCare Exchange Rate"":""412.30"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11042"",""DESC"":""DEBRID SKIN SUB-Q TISSUE"",""Revenue Code"":""361"",""Hospital Charge"":""1957.46"",""Minimum Rate"":""763.41"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""763.41"",""Aetna Rate"":""904.93"",""Anthem HMO Rate"":""1,053.11"",""Anthem PPO Rate"":""1,123.97"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""1,667.17"",""ConnectiCare Exchange Rate"":""1,573.41"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""RN FOLLOW-UP CARE I.E. B.P."",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11750"",""DESC"":""EXCISION NAIL & MATRIX"",""Revenue Code"":""761"",""Hospital Charge"":""953.6"",""Minimum Rate"":""281.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""281.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""812.18"",""ConnectiCare Exchange Rate"":""766.50"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""11765"",""DESC"":""WEDGE EXCISION SKIN NAIL FOLD"",""Revenue Code"":""761"",""Hospital Charge"":""533.11"",""Minimum Rate"":""157.27"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""157.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""454.05"",""ConnectiCare Exchange Rate"":""428.51"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""J1030"",""DESC"":""METHYLPRED 40MG - ML (#2)"",""Revenue Code"":""636"",""Hospital Charge"":""37.14"",""Minimum Rate"":"" - "",""Maximum Rate"":""16.02"",""Self-Pay Rate"":""7.47"",""Aetna Rate"":""13.97"",""Anthem HMO Rate"":""16.02"",""Anthem PPO Rate"":""16.02"",""CIGNA Rate"":""11.88"",""ConnectiCare Commercial Rate"":""10.87"",""ConnectiCare Exchange Rate"":""10.61"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""36468"",""DESC"":""SCLEROTHERAPY, LEG VEINS"",""Revenue Code"":""761"",""Hospital Charge"":""293.91"",""Minimum Rate"":""86.70"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""86.70"",""Aetna Rate"":""176.29"",""Anthem HMO Rate"":""199.12"",""Anthem PPO Rate"":""199.12"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""250.32"",""ConnectiCare Exchange Rate"":""236.24"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""15852"",""DESC"":""UNNA BOOT"",""Revenue Code"":""761"",""Hospital Charge"":""321.65"",""Minimum Rate"":""94.89"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""94.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""273.95"",""ConnectiCare Exchange Rate"":""258.54"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96372"",""DESC"":""INJECTION SUB-Q IM"",""Revenue Code"":""260"",""Hospital Charge"":""449.25"",""Minimum Rate"":""132.53"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""132.53"",""Aetna Rate"":""269.46"",""Anthem HMO Rate"":""304.37"",""Anthem PPO Rate"":""304.37"",""CIGNA Rate"":""180.98"",""ConnectiCare Commercial Rate"":""382.63"",""ConnectiCare Exchange Rate"":""361.11"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""(blank)"",""DESC"":""POST OP EXAM - VISIT"",""Revenue Code"":""510"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""20600"",""DESC"":""ARTHROCENTESIS ASP-INJ W-O US"",""Revenue Code"":""361"",""Hospital Charge"":""1873.82"",""Minimum Rate"":""730.79"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""730.79"",""Aetna Rate"":""866.27"",""Anthem HMO Rate"":""1,008.12"",""Anthem PPO Rate"":""1,075.95"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,595.93"",""ConnectiCare Exchange Rate"":""1,506.18"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""51702"",""DESC"":""CATHETERIZE URETHRA TEMP SIMPL"",""Revenue Code"":""761"",""Hospital Charge"":""569.25"",""Minimum Rate"":""167.93"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""167.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""484.83"",""ConnectiCare Exchange Rate"":""457.56"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""51705"",""DESC"":""CHANGE CYSTOTOMY TUBE SIMPLE"",""Revenue Code"":""761"",""Hospital Charge"":""1068.02"",""Minimum Rate"":""315.07"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""315.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""909.63"",""ConnectiCare Exchange Rate"":""858.47"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""65205"",""DESC"":""FB REM EXT EYE CONJUNC SUPERFL"",""Revenue Code"":""761"",""Hospital Charge"":""776.14"",""Minimum Rate"":""228.96"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""228.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""661.04"",""ConnectiCare Exchange Rate"":""623.86"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96372"",""DESC"":""INJECTION SUB-Q IM"",""Revenue Code"":""260"",""Hospital Charge"":""449.25"",""Minimum Rate"":""132.53"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""132.53"",""Aetna Rate"":""269.46"",""Anthem HMO Rate"":""304.37"",""Anthem PPO Rate"":""304.37"",""CIGNA Rate"":""180.98"",""ConnectiCare Commercial Rate"":""382.63"",""ConnectiCare Exchange Rate"":""361.11"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""(blank)"",""DESC"":""RN-FOLLOWUP CARE"",""Revenue Code"":""514"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""POST PARTUM VISIT"",""Revenue Code"":""514"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""19000"",""DESC"":""ASPIRATE PUNCTURE BREAST CYST"",""Revenue Code"":""761"",""Hospital Charge"":""4983.21"",""Minimum Rate"":""1,470.05"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,470.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,244.20"",""ConnectiCare Exchange Rate"":""4,005.50"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""56420"",""DESC"":""I & D ABSCESS BARTHLIN'S GLAND"",""Revenue Code"":""761"",""Hospital Charge"":""919.31"",""Minimum Rate"":""271.20"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""271.20"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""782.98"",""ConnectiCare Exchange Rate"":""738.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""51702"",""DESC"":""CATHETERIZE URETHRA TEMP SIMPL"",""Revenue Code"":""761"",""Hospital Charge"":""569.25"",""Minimum Rate"":""167.93"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""167.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""484.83"",""ConnectiCare Exchange Rate"":""457.56"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""57500"",""DESC"":""CERVICAL BIOPSY"",""Revenue Code"":""761"",""Hospital Charge"":""1042.74"",""Minimum Rate"":""307.61"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""307.61"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""888.10"",""ConnectiCare Exchange Rate"":""838.15"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""57452"",""DESC"":""COLPOSCOPY-CERVIX EXAM"",""Revenue Code"":""761"",""Hospital Charge"":""432.82"",""Minimum Rate"":""127.68"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""127.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""368.63"",""ConnectiCare Exchange Rate"":""347.90"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""57454"",""DESC"":""COLPOSCOPY W CERVICAL BX"",""Revenue Code"":""761"",""Hospital Charge"":""1417.67"",""Minimum Rate"":""418.21"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""418.21"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,207.43"",""ConnectiCare Exchange Rate"":""1,139.52"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""57170"",""DESC"":""DIAPHRAM FITTING"",""Revenue Code"":""761"",""Hospital Charge"":""144.15"",""Minimum Rate"":""42.52"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""42.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""122.77"",""ConnectiCare Exchange Rate"":""115.87"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""57505"",""DESC"":""ECC ENDOCERVICAL CURRETTAGE"",""Revenue Code"":""761"",""Hospital Charge"":""1042.74"",""Minimum Rate"":""307.61"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""307.61"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""888.10"",""ConnectiCare Exchange Rate"":""838.15"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""58100"",""DESC"":""BX ENDOMETRIAL W-O DILATATION"",""Revenue Code"":""761"",""Hospital Charge"":""335.74"",""Minimum Rate"":""99.04"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""99.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""285.95"",""ConnectiCare Exchange Rate"":""269.87"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""82948"",""DESC"":""FSG (FINGER STICK GLUCOSE)"",""Revenue Code"":""300"",""Hospital Charge"":""39.69"",""Minimum Rate"":""4.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""6.99"",""Aetna Rate"":""9.42"",""Anthem HMO Rate"":""4.02"",""Anthem PPO Rate"":""4.02"",""CIGNA Rate"":""9.36"",""ConnectiCare Commercial Rate"":""40.60"",""ConnectiCare Exchange Rate"":""5.54"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""(blank)"",""DESC"":""HEMOCULT STOOL"",""Revenue Code"":""300"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""10160"",""DESC"":""ASPIRATE PUNC ABSCESS HEMATOMA"",""Revenue Code"":""761"",""Hospital Charge"":""4745.9"",""Minimum Rate"":""818.00"",""Maximum Rate"":""4,042.08"",""Self-Pay Rate"":""1,400.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""4,042.08"",""ConnectiCare Exchange Rate"":""3,814.75"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""58300"",""DESC"":""INSERTION OF IUD (ANY)"",""Revenue Code"":""761"",""Hospital Charge"":""461.29"",""Minimum Rate"":""136.08"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""136.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""392.88"",""ConnectiCare Exchange Rate"":""370.78"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""58301"",""DESC"":""REMOVAL OF IUD (ANY)"",""Revenue Code"":""761"",""Hospital Charge"":""435.25"",""Minimum Rate"":""128.40"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""128.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""370.70"",""ConnectiCare Exchange Rate"":""349.85"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""J7300"",""DESC"":""IUD DEVICE"",""Revenue Code"":""278"",""Hospital Charge"":""1939.88"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,164.53"",""Self-Pay Rate"":""572.26"",""Aetna Rate"":""2,019.67"",""Anthem HMO Rate"":""2,164.53"",""Anthem PPO Rate"":""2,164.53"",""CIGNA Rate"":""1,822.42"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""57160"",""DESC"":""INSERT PESSARY-INTRAVAG DEVICE"",""Revenue Code"":""761"",""Hospital Charge"":""258.73"",""Minimum Rate"":""76.33"",""Maximum Rate"":""818.00"",""Self-Pay Rate"":""76.33"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""220.36"",""ConnectiCare Exchange Rate"":""207.97"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ULTRASOUND,FOLLOW-UP PREGNANCY"",""Revenue Code"":""402"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ULTRASOUND FOR LIMITED PREGNAN"",""Revenue Code"":""402"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ULTRASOUND TRANSVAGINAL"",""Revenue Code"":""402"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""81000"",""DESC"":""URINALYSIS BY DIPSTICK"",""Revenue Code"":""300"",""Hospital Charge"":""85.19"",""Minimum Rate"":""4.02"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""14.99"",""Aetna Rate"":""9.42"",""Anthem HMO Rate"":""4.02"",""Anthem PPO Rate"":""4.02"",""CIGNA Rate"":""9.36"",""ConnectiCare Commercial Rate"":""27.72"",""ConnectiCare Exchange Rate"":""4.42"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""81025"",""DESC"":""URINE FOR HCG (PREGNANCY)"",""Revenue Code"":""300"",""Hospital Charge"":""195.79"",""Minimum Rate"":""8.03"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""34.46"",""Aetna Rate"":""18.79"",""Anthem HMO Rate"":""8.03"",""Anthem PPO Rate"":""8.03"",""CIGNA Rate"":""18.76"",""ConnectiCare Commercial Rate"":""59.40"",""ConnectiCare Exchange Rate"":""9.47"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""57100"",""DESC"":""BIOPSY VAGINA"",""Revenue Code"":""761"",""Hospital Charge"":""959.93"",""Minimum Rate"":""283.18"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""283.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""817.57"",""ConnectiCare Exchange Rate"":""771.59"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""56605"",""DESC"":""BX LESN VULV-PERINEUM SNGL"",""Revenue Code"":""761"",""Hospital Charge"":""790.95"",""Minimum Rate"":""233.33"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""233.33"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""673.65"",""ConnectiCare Exchange Rate"":""635.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""56501"",""DESC"":""VULVAR LESION DESTRUCT TCA"",""Revenue Code"":""761"",""Hospital Charge"":""2422.5"",""Minimum Rate"":""714.64"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""714.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""2,063.24"",""ConnectiCare Exchange Rate"":""1,947.21"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""56405"",""DESC"":""I & D ABSCESS VULVA-PERINEAL"",""Revenue Code"":""761"",""Hospital Charge"":""1016.35"",""Minimum Rate"":""299.82"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""299.82"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""865.63"",""ConnectiCare Exchange Rate"":""816.94"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""87210"",""DESC"":""WET MOUNT-1"",""Revenue Code"":""300"",""Hospital Charge"":""181.43"",""Minimum Rate"":""5.42"",""Maximum Rate"":""68.00"",""Self-Pay Rate"":""31.93"",""Aetna Rate"":""12.67"",""Anthem HMO Rate"":""5.42"",""Anthem PPO Rate"":""5.42"",""CIGNA Rate"":""13.01"",""ConnectiCare Commercial Rate"":""13.38"",""ConnectiCare Exchange Rate"":""6.40"",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""A4561"",""DESC"":""PESSARY DEVICE"",""Revenue Code"":""271"",""Hospital Charge"":""81.29"",""Minimum Rate"":""23.98"",""Maximum Rate"":""69.23"",""Self-Pay Rate"":""23.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""69.23"",""ConnectiCare Exchange Rate"":""65.34"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96372"",""DESC"":""INJECTION SUB-Q IM"",""Revenue Code"":""260"",""Hospital Charge"":""449.25"",""Minimum Rate"":""132.53"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""132.53"",""Aetna Rate"":""269.46"",""Anthem HMO Rate"":""304.37"",""Anthem PPO Rate"":""304.37"",""CIGNA Rate"":""180.98"",""ConnectiCare Commercial Rate"":""382.63"",""ConnectiCare Exchange Rate"":""361.11"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""17999"",""DESC"":""SKIN MUC MEMB S-Q DIABETIC"",""Revenue Code"":""361"",""Hospital Charge"":""1697"",""Minimum Rate"":""661.83"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""661.83"",""Aetna Rate"":""784.52"",""Anthem HMO Rate"":""912.99"",""Anthem PPO Rate"":""974.42"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,445.33"",""ConnectiCare Exchange Rate"":""1,364.05"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""11720"",""DESC"":""DEBRID NAIL(S) ANY METH, 1-5"",""Revenue Code"":""361"",""Hospital Charge"":""309.39"",""Minimum Rate"":""120.66"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""120.66"",""Aetna Rate"":""143.03"",""Anthem HMO Rate"":""166.45"",""Anthem PPO Rate"":""177.65"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""263.51"",""ConnectiCare Exchange Rate"":""248.69"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""17000"",""DESC"":""DESTRUCTN BENIGN LESION FIRS"",""Revenue Code"":""361"",""Hospital Charge"":""289.13"",""Minimum Rate"":""112.76"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""112.76"",""Aetna Rate"":""133.66"",""Anthem HMO Rate"":""155.55"",""Anthem PPO Rate"":""166.02"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""246.25"",""ConnectiCare Exchange Rate"":""232.40"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""57460"",""DESC"":""LEEPS W- COPO"",""Revenue Code"":""761"",""Hospital Charge"":""1552.25"",""Minimum Rate"":""457.91"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""457.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,878.00"",""ConnectiCare Exchange Rate"":""1,878.00"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""92083"",""DESC"":""EXAM VISUAL FIELD - EXTENDED"",""Revenue Code"":""510"",""Hospital Charge"":""214.66"",""Minimum Rate"":""63.32"",""Maximum Rate"":""63.32"",""Self-Pay Rate"":""63.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99201"",""DESC"":""P-VISIT NEW PT-FOCUSED 15"",""Revenue Code"":""515"",""Hospital Charge"":""249.56"",""Minimum Rate"":""73.62"",""Maximum Rate"":""73.62"",""Self-Pay Rate"":""73.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99202"",""DESC"":""P-VISIT NEW PT-EXPANDED 20"",""Revenue Code"":""515"",""Hospital Charge"":""405.8"",""Minimum Rate"":""119.71"",""Maximum Rate"":""119.71"",""Self-Pay Rate"":""119.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99203"",""DESC"":""P-VISIT NEW PT-DETAILED-30"",""Revenue Code"":""515"",""Hospital Charge"":""409.38"",""Minimum Rate"":""120.77"",""Maximum Rate"":""120.77"",""Self-Pay Rate"":""120.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99204"",""DESC"":""P-VISIT NEW PT-COMPREHEN-45"",""Revenue Code"":""515"",""Hospital Charge"":""435.06"",""Minimum Rate"":""128.34"",""Maximum Rate"":""128.34"",""Self-Pay Rate"":""128.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99205"",""DESC"":""P-VISIT NEW PT-COMPLEX-60"",""Revenue Code"":""515"",""Hospital Charge"":""591.8"",""Minimum Rate"":""174.58"",""Maximum Rate"":""174.58"",""Self-Pay Rate"":""174.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99211"",""DESC"":""P-VISIT ESTAB PT-FOCUSED-5"",""Revenue Code"":""515"",""Hospital Charge"":""187.12"",""Minimum Rate"":""55.20"",""Maximum Rate"":""55.20"",""Self-Pay Rate"":""55.20"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99212"",""DESC"":""P-VISIT ESTAB PT-EXPANDED-10"",""Revenue Code"":""515"",""Hospital Charge"":""290.55"",""Minimum Rate"":""85.71"",""Maximum Rate"":""85.71"",""Self-Pay Rate"":""85.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99213"",""DESC"":""P-VISIT ESTAB PT-DETAILED-15"",""Revenue Code"":""515"",""Hospital Charge"":""311.51"",""Minimum Rate"":""91.90"",""Maximum Rate"":""91.90"",""Self-Pay Rate"":""91.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99214"",""DESC"":""P-VISIT ESTAB PT-COMPREHEN-25"",""Revenue Code"":""515"",""Hospital Charge"":""339.29"",""Minimum Rate"":""100.09"",""Maximum Rate"":""100.09"",""Self-Pay Rate"":""100.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99215"",""DESC"":""P-VISIT ESTAB PT-COMPLEX-40"",""Revenue Code"":""515"",""Hospital Charge"":""342.49"",""Minimum Rate"":""101.03"",""Maximum Rate"":""101.03"",""Self-Pay Rate"":""101.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99241"",""DESC"":""CONSULT OUT-PT FOCUSED SF-15"",""Revenue Code"":""510"",""Hospital Charge"":""231.09"",""Minimum Rate"":""68.17"",""Maximum Rate"":""196.82"",""Self-Pay Rate"":""68.17"",""Aetna Rate"":""138.61"",""Anthem HMO Rate"":""156.56"",""Anthem PPO Rate"":""156.56"",""CIGNA Rate"":""154.67"",""ConnectiCare Commercial Rate"":""196.82"",""ConnectiCare Exchange Rate"":""185.75"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99242"",""DESC"":""CONSULT OUT-PT EXPANDED SF-30"",""Revenue Code"":""510"",""Hospital Charge"":""323.55"",""Minimum Rate"":""95.45"",""Maximum Rate"":""275.57"",""Self-Pay Rate"":""95.45"",""Aetna Rate"":""194.07"",""Anthem HMO Rate"":""219.21"",""Anthem PPO Rate"":""219.21"",""CIGNA Rate"":""216.55"",""ConnectiCare Commercial Rate"":""275.57"",""ConnectiCare Exchange Rate"":""260.07"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99243"",""DESC"":""CONSULT OUT-PT DETAILED LC-40"",""Revenue Code"":""510"",""Hospital Charge"":""422.59"",""Minimum Rate"":""124.66"",""Maximum Rate"":""359.92"",""Self-Pay Rate"":""124.66"",""Aetna Rate"":""253.47"",""Anthem HMO Rate"":""286.30"",""Anthem PPO Rate"":""286.30"",""CIGNA Rate"":""282.84"",""ConnectiCare Commercial Rate"":""359.92"",""ConnectiCare Exchange Rate"":""339.68"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99244"",""DESC"":""CONSULT OUT-PT COMPREHEN MC-80"",""Revenue Code"":""510"",""Hospital Charge"":""587.66"",""Minimum Rate"":""173.36"",""Maximum Rate"":""500.51"",""Self-Pay Rate"":""173.36"",""Aetna Rate"":""352.48"",""Anthem HMO Rate"":""398.14"",""Anthem PPO Rate"":""398.14"",""CIGNA Rate"":""393.32"",""ConnectiCare Commercial Rate"":""500.51"",""ConnectiCare Exchange Rate"":""472.36"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99245"",""DESC"":""CONSULT OUT-PT COMPREHN HC-110"",""Revenue Code"":""510"",""Hospital Charge"":""732.93"",""Minimum Rate"":""216.21"",""Maximum Rate"":""624.24"",""Self-Pay Rate"":""216.21"",""Aetna Rate"":""439.61"",""Anthem HMO Rate"":""496.56"",""Anthem PPO Rate"":""496.56"",""CIGNA Rate"":""490.55"",""ConnectiCare Commercial Rate"":""624.24"",""ConnectiCare Exchange Rate"":""589.13"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99201"",""DESC"":""VISIT NEW PT-FOCUSED-LVL 1"",""Revenue Code"":""510"",""Hospital Charge"":""429.87"",""Minimum Rate"":""126.81"",""Maximum Rate"":""126.81"",""Self-Pay Rate"":""126.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99202"",""DESC"":""VISIT NEW PT-EXPANDED-LVL 2"",""Revenue Code"":""510"",""Hospital Charge"":""249.56"",""Minimum Rate"":""73.62"",""Maximum Rate"":""73.62"",""Self-Pay Rate"":""73.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99212"",""DESC"":""VISIT ESTAB PT-EXPANDED-LVL 2"",""Revenue Code"":""510"",""Hospital Charge"":""290.55"",""Minimum Rate"":""85.71"",""Maximum Rate"":""85.71"",""Self-Pay Rate"":""85.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99203"",""DESC"":""VISIT NEW PT-DETAILED-LVL 3"",""Revenue Code"":""510"",""Hospital Charge"":""591.8"",""Minimum Rate"":""174.58"",""Maximum Rate"":""174.58"",""Self-Pay Rate"":""174.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99204"",""DESC"":""VISIT NEW PT-COMPREH-LVL 4"",""Revenue Code"":""510"",""Hospital Charge"":""435.06"",""Minimum Rate"":""128.34"",""Maximum Rate"":""128.34"",""Self-Pay Rate"":""128.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99205"",""DESC"":""VISIT NEW PT-COMPLEX-LVL 5"",""Revenue Code"":""510"",""Hospital Charge"":""405.8"",""Minimum Rate"":""119.71"",""Maximum Rate"":""119.71"",""Self-Pay Rate"":""119.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99213"",""DESC"":""VISIT ESTAB PT-DETAILED-LVL 3"",""Revenue Code"":""510"",""Hospital Charge"":""339.29"",""Minimum Rate"":""100.09"",""Maximum Rate"":""100.09"",""Self-Pay Rate"":""100.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99214""" "DESC:""VISIT ESTAB PT-COMPREH-LVL 4"",""Revenue Code"":""510"",""Hospital Charge"":""342.49"",""Minimum Rate"":""101.03"",""Maximum Rate"":""101.03"",""Self-Pay Rate"":""101.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99215"",""DESC"":""VISIT ESTAB PT-COMPLEX-LVL 5"",""Revenue Code"":""510"",""Hospital Charge"":""311.51"",""Minimum Rate"":""91.90"",""Maximum Rate"":""91.90"",""Self-Pay Rate"":""91.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99211"",""DESC"":""VISIT ESTAB PT-FOCUSED-LVL 1"",""Revenue Code"":""510"",""Hospital Charge"":""196.46"",""Minimum Rate"":""57.96"",""Maximum Rate"":""57.96"",""Self-Pay Rate"":""57.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""17000"",""DESC"":""DESTRUCTN BENIGN LESION FIRST"",""Revenue Code"":""361"",""Hospital Charge"":""289.13"",""Minimum Rate"":""112.76"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""112.76"",""Aetna Rate"":""133.66"",""Anthem HMO Rate"":""155.55"",""Anthem PPO Rate"":""166.02"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""246.25"",""ConnectiCare Exchange Rate"":""232.40"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""17003"",""DESC"":""2ND > 14TH LESION DESTRUCTN"",""Revenue Code"":""361"",""Hospital Charge"":""246.83"",""Minimum Rate"":""96.26"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""96.26"",""Aetna Rate"":""114.11"",""Anthem HMO Rate"":""132.79"",""Anthem PPO Rate"":""141.73"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""210.23"",""ConnectiCare Exchange Rate"":""198.40"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""C1725"",""DESC"":""CATH STINGRAY M-1000"",""Revenue Code"":""272"",""Hospital Charge"":""3125"",""Minimum Rate"":""921.88"",""Maximum Rate"":""921.88"",""Self-Pay Rate"":""921.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CROSS-BOSS M-2000"",""Revenue Code"":""272"",""Hospital Charge"":""4130"",""Minimum Rate"":""1,218.35"",""Maximum Rate"":""1,218.35"",""Self-Pay Rate"":""1,218.35"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWIRE STINGRAY 300CM M-3000"",""Revenue Code"":""272"",""Hospital Charge"":""687.5"",""Minimum Rate"":""202.81"",""Maximum Rate"":""202.81"",""Self-Pay Rate"":""202.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDELINER 6FR 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1095"",""Minimum Rate"":""323.03"",""Maximum Rate"":""323.03"",""Self-Pay Rate"":""323.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDELINER 7FR 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1095"",""Minimum Rate"":""323.03"",""Maximum Rate"":""323.03"",""Self-Pay Rate"":""323.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH BALN INTRAAORT 7.5FR 40ML"",""Revenue Code"":""278"",""Hospital Charge"":""2075"",""Minimum Rate"":""612.13"",""Maximum Rate"":""612.13"",""Self-Pay Rate"":""612.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ANGLED .035 x 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.25"",""Minimum Rate"":""33.11"",""Maximum Rate"":""33.11"",""Self-Pay Rate"":""33.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""IMMOBILIZER KNEE FOAM 20IN"",""Revenue Code"":""270"",""Hospital Charge"":""34.43"",""Minimum Rate"":""10.16"",""Maximum Rate"":""29.32"",""Self-Pay Rate"":""10.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""29.32"",""ConnectiCare Exchange Rate"":""27.67"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACL 6FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""24.8"",""Minimum Rate"":""7.32"",""Maximum Rate"":""7.32"",""Self-Pay Rate"":""7.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACL 8FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""44.85"",""Minimum Rate"":""13.23"",""Maximum Rate"":""13.23"",""Self-Pay Rate"":""13.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""IMMOBILIZER KNEE 16IN"",""Revenue Code"":""270"",""Hospital Charge"":""29.43"",""Minimum Rate"":""8.68"",""Maximum Rate"":""25.07"",""Self-Pay Rate"":""8.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""25.07"",""ConnectiCare Exchange Rate"":""23.66"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGL STIFF .035x260"",""Revenue Code"":""272"",""Hospital Charge"":""126.13"",""Minimum Rate"":""37.21"",""Maximum Rate"":""37.21"",""Self-Pay Rate"":""37.21"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ANGLED .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""74.88"",""Minimum Rate"":""22.09"",""Maximum Rate"":""22.09"",""Self-Pay Rate"":""22.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE AMPLATZ SS .035x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""300"",""Minimum Rate"":""88.50"",""Maximum Rate"":""88.50"",""Self-Pay Rate"":""88.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE AMPLATZ .035 X 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""102.5"",""Minimum Rate"":""30.24"",""Maximum Rate"":""30.24"",""Self-Pay Rate"":""30.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE BENSTON .035 X 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE BENSTON .035 X 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE FIXD CORE .035x150CM"",""Revenue Code"":""272"",""Hospital Charge"":""50"",""Minimum Rate"":""14.75"",""Maximum Rate"":""14.75"",""Self-Pay Rate"":""14.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ACUSTIK SS .018 x 60"",""Revenue Code"":""272"",""Hospital Charge"":""65"",""Minimum Rate"":""19.18"",""Maximum Rate"":""19.18"",""Self-Pay Rate"":""19.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE STR .035 X 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SHEATH INTRO 16FR 30CM"",""Revenue Code"":""272"",""Hospital Charge"":""323.85"",""Minimum Rate"":""95.54"",""Maximum Rate"":""95.54"",""Self-Pay Rate"":""95.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SHEATH INTRO 18FR 40CM"",""Revenue Code"":""272"",""Hospital Charge"":""323.85"",""Minimum Rate"":""95.54"",""Maximum Rate"":""95.54"",""Self-Pay Rate"":""95.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SHEATH INTRO 18FR 85CM"",""Revenue Code"":""272"",""Hospital Charge"":""323.85"",""Minimum Rate"":""95.54"",""Maximum Rate"":""95.54"",""Self-Pay Rate"":""95.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1773"",""DESC"":""EN SNARE LOOP DIAM 7FR 27-45MM"",""Revenue Code"":""272"",""Hospital Charge"":""827.5"",""Minimum Rate"":""244.11"",""Maximum Rate"":""244.11"",""Self-Pay Rate"":""244.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE V-18 .018 x 200CM"",""Revenue Code"":""272"",""Hospital Charge"":""205"",""Minimum Rate"":""60.48"",""Maximum Rate"":""60.48"",""Self-Pay Rate"":""60.48"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE V-18 .018 X 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""205"",""Minimum Rate"":""60.48"",""Maximum Rate"":""60.48"",""Self-Pay Rate"":""60.48"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NDLE MICROPUNCTURE SET 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""115.88"",""Minimum Rate"":""34.18"",""Maximum Rate"":""34.18"",""Self-Pay Rate"":""34.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT NEEDLE MINI-STICK 5FR 7CM"",""Revenue Code"":""272"",""Hospital Charge"":""145"",""Minimum Rate"":""42.78"",""Maximum Rate"":""42.78"",""Self-Pay Rate"":""42.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""MANIFOLD PERCEPTOR LF MORSE"",""Revenue Code"":""272"",""Hospital Charge"":""29.09"",""Minimum Rate"":""8.58"",""Maximum Rate"":""8.58"",""Self-Pay Rate"":""8.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PUMP SET & TUBING, ANGIOJET"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 6FR 11CM"",""Revenue Code"":""272"",""Hospital Charge"":""24.13"",""Minimum Rate"":""7.12"",""Maximum Rate"":""7.12"",""Self-Pay Rate"":""7.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDE WHOLEY HI TRQ .035x145CM"",""Revenue Code"":""272"",""Hospital Charge"":""215.43"",""Minimum Rate"":""63.55"",""Maximum Rate"":""63.55"",""Self-Pay Rate"":""63.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH MULTIPACK 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""67.5"",""Minimum Rate"":""19.91"",""Maximum Rate"":""19.91"",""Self-Pay Rate"":""19.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""CATH PIGTAIL 6FR 145 - 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO AR MOD 6FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL 5FR LEFT 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL 5FR RIGHT # 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL RIGHT 5FR # 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA FORTE MOD SUP W MARK"",""Revenue Code"":""272"",""Hospital Charge"":""187.5"",""Minimum Rate"":""55.31"",""Maximum Rate"":""55.31"",""Self-Pay Rate"":""55.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA GRAPHIX INT J"",""Revenue Code"":""272"",""Hospital Charge"":""1375"",""Minimum Rate"":""405.63"",""Maximum Rate"":""405.63"",""Self-Pay Rate"":""405.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA CRS IT .014 X 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA PIL 150 0.014 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA PIL 300 .014 x 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE STR TROOP .014x145CM"",""Revenue Code"":""272"",""Hospital Charge"":""198"",""Minimum Rate"":""58.41"",""Maximum Rate"":""58.41"",""Self-Pay Rate"":""58.41"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA BMW 0.014 X 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA BMW EXC 0.014 x 300"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA DOC EXTENSION"",""Revenue Code"":""272"",""Hospital Charge"":""375"",""Minimum Rate"":""110.63"",""Maximum Rate"":""110.63"",""Self-Pay Rate"":""110.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA PRWTR 0.014 X 185CM"",""Revenue Code"":""272"",""Hospital Charge"":""197.5"",""Minimum Rate"":""58.26"",""Maximum Rate"":""58.26"",""Self-Pay Rate"":""58.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA PRWTR EXC .014 X 300"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 6FR 3.5 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR EBU4 4.0x100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR 4.5 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR 5.0 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR 3.5 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR 4.0 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 7FR 4.5 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""137.5"",""Minimum Rate"":""40.56"",""Maximum Rate"":""40.56"",""Self-Pay Rate"":""40.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 8FR 3.5 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 8FR 4.0 x 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DEVICE INFLATION ADVANT 26"",""Revenue Code"":""272"",""Hospital Charge"":""85"",""Minimum Rate"":""25.08"",""Maximum Rate"":""25.08"",""Self-Pay Rate"":""25.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY FL 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY FL 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY AR2"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY AL1"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY AL .75"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY VL 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""*CATH GUIDNG 6F RNWY ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY AL3"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWY IM 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY FR3.5"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR RUNWAY FL4 SH"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR LAUNCH JR4 SH"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR HS SH"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR LAUNCH JL4 SH"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR JR4 SH 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""137.5"",""Minimum Rate"":""40.56"",""Maximum Rate"":""40.56"",""Self-Pay Rate"":""40.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR MP SH 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 7FR JL4"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO LONG LENGTH 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""47.25"",""Minimum Rate"":""13.94"",""Maximum Rate"":""13.94"",""Self-Pay Rate"":""13.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO LONG LENGTH 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""81"",""Minimum Rate"":""23.90"",""Maximum Rate"":""23.90"",""Self-Pay Rate"":""23.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO SUPER 7FRx25"",""Revenue Code"":""272"",""Hospital Charge"":""81"",""Minimum Rate"":""23.90"",""Maximum Rate"":""23.90"",""Self-Pay Rate"":""23.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO LONG LENGTH 8FR"",""Revenue Code"":""272"",""Hospital Charge"":""78.75"",""Minimum Rate"":""23.23"",""Maximum Rate"":""23.23"",""Self-Pay Rate"":""23.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DEVICE TORQUE (ESSEN KIT)"",""Revenue Code"":""272"",""Hospital Charge"":""82.5"",""Minimum Rate"":""24.34"",""Maximum Rate"":""24.34"",""Self-Pay Rate"":""24.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACK CATH LAB (CUSTOM)"",""Revenue Code"":""272"",""Hospital Charge"":""199.21"",""Minimum Rate"":""58.77"",""Maximum Rate"":""58.77"",""Self-Pay Rate"":""58.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA PLAT .014 X 300MM"",""Revenue Code"":""272"",""Hospital Charge"":""825"",""Minimum R" "te"":""243.38"",""Maximum Rate"":""243.38"",""Self-Pay Rate"":""243.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE EXT SUPPORT .014 x 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""412.5"",""Minimum Rate"":""121.69"",""Maximum Rate"":""121.69"",""Self-Pay Rate"":""121.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE WHLY J-TP .035x145CM"",""Revenue Code"":""272"",""Hospital Charge"":""108.33"",""Minimum Rate"":""31.96"",""Maximum Rate"":""31.96"",""Self-Pay Rate"":""31.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE WHLY STR .035x145MM"",""Revenue Code"":""272"",""Hospital Charge"":""191.1"",""Minimum Rate"":""56.37"",""Maximum Rate"":""56.37"",""Self-Pay Rate"":""56.37"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ANGLED .035 X 300MM"",""Revenue Code"":""272"",""Hospital Charge"":""67.5"",""Minimum Rate"":""19.91"",""Maximum Rate"":""19.91"",""Self-Pay Rate"":""19.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PUMP INFUSION 1000ML DISP"",""Revenue Code"":""272"",""Hospital Charge"":""21.3"",""Minimum Rate"":""6.28"",""Maximum Rate"":""6.28"",""Self-Pay Rate"":""6.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""CORE FIXED J-TIP .035 X 15"",""Revenue Code"":""272"",""Hospital Charge"":""17"",""Minimum Rate"":""5.02"",""Maximum Rate"":""5.02"",""Self-Pay Rate"":""5.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDE J-TIP EXCHANGE .035"",""Revenue Code"":""272"",""Hospital Charge"":""29.38"",""Minimum Rate"":""8.67"",""Maximum Rate"":""8.67"",""Self-Pay Rate"":""8.67"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGLD .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""1020"",""Minimum Rate"":""300.90"",""Maximum Rate"":""300.90"",""Self-Pay Rate"":""300.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE STRGT .035 X 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGL SS .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""550"",""Minimum Rate"":""162.25"",""Maximum Rate"":""162.25"",""Self-Pay Rate"":""162.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE STR SS .035 X 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE EXCHANGE .025 x 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""35.53"",""Minimum Rate"":""10.48"",""Maximum Rate"":""10.48"",""Self-Pay Rate"":""10.48"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH DRNG PERI-CARDIAL 8.3FR"",""Revenue Code"":""272"",""Hospital Charge"":""418.33"",""Minimum Rate"":""123.41"",""Maximum Rate"":""123.41"",""Self-Pay Rate"":""123.41"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH THERMODIL 7F (SWAN-GANZ)"",""Revenue Code"":""278"",""Hospital Charge"":""25.6"",""Minimum Rate"":""7.55"",""Maximum Rate"":""7.55"",""Self-Pay Rate"":""7.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT FEMORAL"",""Revenue Code"":""272"",""Hospital Charge"":""89.48"",""Minimum Rate"":""26.40"",""Maximum Rate"":""26.40"",""Self-Pay Rate"":""26.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""ANGIOSEAL CLOSURE 6FR"",""Revenue Code"":""278"",""Hospital Charge"":""550.13"",""Minimum Rate"":""162.29"",""Maximum Rate"":""162.29"",""Self-Pay Rate"":""162.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""ANGIOSEAL CLOSURE 8FR"",""Revenue Code"":""278"",""Hospital Charge"":""562.5"",""Minimum Rate"":""165.94"",""Maximum Rate"":""165.94"",""Self-Pay Rate"":""165.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH CORONARY BYPASS RT 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH CORONARY BYPASS LT 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH AMPLATZ LEFT I 6FR 100CM"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH AMPLATZ LEFT II 6FR"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH AMPLATZ III LEFT 6FR"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH INTERNAL MAM 5FRx100CM"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH WILLIAMS RT POST 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH JUDKINS LEFT 5FR #3.5"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""CATH ANGIO PIGTAIL 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH JUDKINS LEFT 6FR #3.5"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH INTERNAL MAM 6FRx100CM"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH JUDKINS LEFT 6FR #6.0"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH JUDKINS LEFT 6FR #5.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL RIGHT 6FR # 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL LEFT 6FR # 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA CHOICE PT .014x182"",""Revenue Code"":""272"",""Hospital Charge"":""187.5"",""Minimum Rate"":""55.31"",""Maximum Rate"":""55.31"",""Self-Pay Rate"":""55.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA HI-TORQ .014 x 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""350"",""Minimum Rate"":""103.25"",""Maximum Rate"":""103.25"",""Self-Pay Rate"":""103.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA COUGAR XT .014x190"",""Revenue Code"":""272"",""Hospital Charge"":""412.5"",""Minimum Rate"":""121.69"",""Maximum Rate"":""121.69"",""Self-Pay Rate"":""121.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH PRONTO V3 .065"",""Revenue Code"":""272"",""Hospital Charge"":""987.5"",""Minimum Rate"":""291.31"",""Maximum Rate"":""291.31"",""Self-Pay Rate"":""291.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG COBRA II 5FR .038"",""Revenue Code"":""272"",""Hospital Charge"":""620"",""Minimum Rate"":""182.90"",""Maximum Rate"":""182.90"",""Self-Pay Rate"":""182.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""WIRE PTCA FILTER .014IN x 190"",""Revenue Code"":""278"",""Hospital Charge"":""3237.5"",""Minimum Rate"":""955.06"",""Maximum Rate"":""955.06"",""Self-Pay Rate"":""955.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA WHISPER .014 x 190"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1779"",""DESC"":""CATH PACEMAKER TEMP 5F 115CM"",""Revenue Code"":""275"",""Hospital Charge"":""372.39"",""Minimum Rate"":""109.86"",""Maximum Rate"":""317.16"",""Self-Pay Rate"":""109.86"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""317.16"",""ConnectiCare Exchange Rate"":""299.33"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN INTR-AORT 7.5FR 34ML"",""Revenue Code"":""272"",""Hospital Charge"":""2156.88"",""Minimum Rate"":""636.28"",""Maximum Rate"":""636.28"",""Self-Pay Rate"":""636.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGELED .035x260CM"",""Revenue Code"":""272"",""Hospital Charge"":""116.27"",""Minimum Rate"":""34.30"",""Maximum Rate"":""34.30"",""Self-Pay Rate"":""34.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGLD STIF .035x260"",""Revenue Code"":""272"",""Hospital Charge"":""130.07"",""Minimum Rate"":""38.37"",""Maximum Rate"":""38.37"",""Self-Pay Rate"":""38.37"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE BENTSON .035 x 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""49.28"",""Minimum Rate"":""14.54"",""Maximum Rate"":""14.54"",""Self-Pay Rate"":""14.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1766"",""DESC"":""INTRO SHEATH GUIDE 6FR 45CM"",""Revenue Code"":""272"",""Hospital Charge"":""231.25"",""Minimum Rate"":""68.22"",""Maximum Rate"":""68.22"",""Self-Pay Rate"":""68.22"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH ANGIO C1 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""24"",""Minimum Rate"":""7.08"",""Maximum Rate"":""7.08"",""Self-Pay Rate"":""7.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH ANGIO CONTRA 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""24"",""Minimum Rate"":""7.08"",""Maximum Rate"":""7.08"",""Self-Pay Rate"":""7.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE STIFF .035 X 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""340.5"",""Minimum Rate"":""100.45"",""Maximum Rate"":""100.45"",""Self-Pay Rate"":""100.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ANGLED .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE AMPLTZ S-S .035 x 145CM"",""Revenue Code"":""272"",""Hospital Charge"":""65"",""Minimum Rate"":""19.18"",""Maximum Rate"":""19.18"",""Self-Pay Rate"":""19.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO RENAL DEST 7FR"",""Revenue Code"":""272"",""Hospital Charge"":""237.5"",""Minimum Rate"":""70.06"",""Maximum Rate"":""70.06"",""Self-Pay Rate"":""70.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE STR .035x180(TERUMO)"",""Revenue Code"":""272"",""Hospital Charge"":""100.5"",""Minimum Rate"":""29.65"",""Maximum Rate"":""29.65"",""Self-Pay Rate"":""29.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO CONTRA 5F.038x65CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO 2 (C2) 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GLIDE COBRA (C2) 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GLIDE NON-TPR ANG 4F 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GLIDE ANG TAPR 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE LUNDERQUIST .035x260"",""Revenue Code"":""272"",""Hospital Charge"":""113.95"",""Minimum Rate"":""33.62"",""Maximum Rate"":""33.62"",""Self-Pay Rate"":""33.62"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG COBRA 2 4FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO RENAL 6FR 45CM"",""Revenue Code"":""272"",""Hospital Charge"":""237.5"",""Minimum Rate"":""70.06"",""Maximum Rate"":""70.06"",""Self-Pay Rate"":""70.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO GLIDE 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""132.5"",""Minimum Rate"":""39.09"",""Maximum Rate"":""39.09"",""Self-Pay Rate"":""39.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG RNWY FL 6FR 5.0"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL LEFT 5FR #4.5"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL LEFT 5FR #5.0"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MP A2 5FR 100CM MULTI-PUR"",""Revenue Code"":""272"",""Hospital Charge"":""22.25"",""Minimum Rate"":""6.56"",""Maximum Rate"":""6.56"",""Self-Pay Rate"":""6.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH THERMODIL 7.5F SWAN-GANZ"",""Revenue Code"":""278"",""Hospital Charge"":""274.05"",""Minimum Rate"":""80.84"",""Maximum Rate"":""80.84"",""Self-Pay Rate"":""80.84"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL 6FR MPA1"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL 6FR MPA2"",""Revenue Code"":""272"",""Hospital Charge"":""22.25"",""Minimum Rate"":""6.56"",""Maximum Rate"":""6.56"",""Self-Pay Rate"":""6.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH AMPLATZ I LEFT 5FR 100CM"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH AMPLATZ II LEFT 5FR"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BERN-IMAGER #2 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE BLEEDBACK CONTROL"",""Revenue Code"":""272"",""Hospital Charge"":""117.5"",""Minimum Rate"":""34.66"",""Maximum Rate"":""34.66"",""Self-Pay Rate"":""34.66"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL INFINITY JR4 4FR"",""Revenue Code"":""272"",""Hospital Charge"":""24.5"",""Minimum Rate"":""7.23"",""Maximum Rate"":""7.23"",""Self-Pay Rate"":""7.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - JL3.5"",""Revenue Code"":""272"",""Hospital Charge"":""24.5"",""Minimum Rate"":""7.23"",""Maximum Rate"":""7.23"",""Self-Pay Rate"":""7.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - JL4"",""Revenue Code"":""272"",""Hospital Charge"":""24.5"",""Minimum Rate"":""7.23"",""Maximum Rate"":""7.23"",""Self-Pay Rate"":""7.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO INFINITY 6FR - JL5"",""Revenue Code"":""272"",""Hospital Charge"":""58.13"",""Minimum Rate"":""17.15"",""Maximum Rate"":""17.15"",""Self-Pay Rate"":""17.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - MPA2"",""Revenue Code"":""272"",""Hospital Charge"":""24.5"",""Minimum Rate"":""7.23"",""Maximum Rate"":""7.23"",""Self-Pay Rate"":""7.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - AR MOD"",""Revenue Code"":""272"",""Hospital Charge"":""57.5"",""Minimum Rate"":""16.96"",""Maximum Rate"":""16.96"",""Self-Pay Rate"":""16.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - AL1"",""Revenue Code"":""272"",""Hospital Charge"":""31.25"",""Minimum Rate"":""9.22"",""Maximum Rate"":""9.22"",""Self-Pay Rate"":""9.22"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR - AL2"",""Revenue Code"":""272"",""Hospital Charge"":""57.5"",""Minimum Rate"":""16.96"",""Maximum Rate"":""16.96"",""Self-Pay Rate"":""16.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEM INFINITY 4FR 155DEG"",""Revenue Code"":""272"",""Hospital Charge"":""24.5"",""Minimum Rate"":""7.23"",""Maximum Rate"":""7.23"",""Self-Pay Rate"":""7.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO AVANTI RADIAL 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""75"",""Minimum Rate"":""22.13"",""Maximum Rate"":""22.13"",""Self-Pay Rate"":""22.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO AVANTI RADIAL 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO AVANTI MONITR 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""28.4"",""Minimum Rate"":""8.38"",""Maximum Rate"":""8.38"",""Self-Pay Rate"":""8.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO MULTI 5FR FL4 PIG145"",""Revenue Code"":""272"",""Hospital Charge"":""67.5"",""Minimum Rate"":""19.91"",""Maximum Rate"":""19.91"",""Self-Pay Rate"":""19.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG PERIPHRL 7FR MACH1"",""Revenue Code"":""272"",""Hospital Charge"":""191.98"",""Minimum Rate"":""56.63"",""Maximum Rate"":""56.63"",""Self-Pay Rate"":""56.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GLIDE STRAIGHT 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxf" "rd Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 4FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""248"",""Minimum Rate"":""73.16"",""Maximum Rate"":""73.16"",""Self-Pay Rate"":""73.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 5FR .035"",""Revenue Code"":""272"",""Hospital Charge"":""248"",""Minimum Rate"":""73.16"",""Maximum Rate"":""73.16"",""Self-Pay Rate"":""73.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 7FR .035"",""Revenue Code"":""272"",""Hospital Charge"":""24.8"",""Minimum Rate"":""7.32"",""Maximum Rate"":""7.32"",""Self-Pay Rate"":""7.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE ANGLED .035 X 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""100.5"",""Minimum Rate"":""29.65"",""Maximum Rate"":""29.65"",""Self-Pay Rate"":""29.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE J CHOIC .014 x 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""91.67"",""Minimum Rate"":""27.04"",""Maximum Rate"":""27.04"",""Self-Pay Rate"":""27.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH ANGIO RCB 5FR 100CM"",""Revenue Code"":""278"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO EXPO MPA1 6FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO GLIDE W-NEDL 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""206"",""Minimum Rate"":""60.77"",""Maximum Rate"":""60.77"",""Self-Pay Rate"":""60.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO RENAL 7FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""265"",""Minimum Rate"":""78.18"",""Maximum Rate"":""78.18"",""Self-Pay Rate"":""78.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO RENAL 6FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""265"",""Minimum Rate"":""78.18"",""Maximum Rate"":""78.18"",""Self-Pay Rate"":""78.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH SILVERHAWK LS-C 8FR 107CM"",""Revenue Code"":""278"",""Hospital Charge"":""8000"",""Minimum Rate"":""2,360.00"",""Maximum Rate"":""2,360.00"",""Self-Pay Rate"":""2,360.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 6FRx45CM"",""Revenue Code"":""272"",""Hospital Charge"":""231.25"",""Minimum Rate"":""68.22"",""Maximum Rate"":""68.22"",""Self-Pay Rate"":""68.22"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG MACH1 AL 7.5FR"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG MACH1 AL1 7F 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG FL4.5 MACH1 7F 100"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG JR4 MACH1 7F 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG VL3 MACH1 7F 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH EXPORT AP .014x6FRx140CM"",""Revenue Code"":""272"",""Hospital Charge"":""1125"",""Minimum Rate"":""331.88"",""Maximum Rate"":""331.88"",""Self-Pay Rate"":""331.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE TIF 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""30.75"",""Minimum Rate"":""9.07"",""Maximum Rate"":""9.07"",""Self-Pay Rate"":""9.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CV PWP SWAM 7FR 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""132.5"",""Minimum Rate"":""39.09"",""Maximum Rate"":""39.09"",""Self-Pay Rate"":""39.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH PIG SUPER TORQUE 5FRx65CM"",""Revenue Code"":""272"",""Hospital Charge"":""170"",""Minimum Rate"":""50.15"",""Maximum Rate"":""50.15"",""Self-Pay Rate"":""50.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH QUICK-CROSS .035 x 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""417.5"",""Minimum Rate"":""123.16"",""Maximum Rate"":""123.16"",""Self-Pay Rate"":""123.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIR AMPLATZ SS .035x260CM"",""Revenue Code"":""272"",""Hospital Charge"":""102.5"",""Minimum Rate"":""30.24"",""Maximum Rate"":""30.24"",""Self-Pay Rate"":""30.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE GRAND SLAM .014 x 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""237.5"",""Minimum Rate"":""70.06"",""Maximum Rate"":""70.06"",""Self-Pay Rate"":""70.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH STRAIGHT TAPER 5FR 40CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""COMPRESS D-STAT RADIAL HEMOST"",""Revenue Code"":""278"",""Hospital Charge"":""155"",""Minimum Rate"":""45.73"",""Maximum Rate"":""45.73"",""Self-Pay Rate"":""45.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH JACKY RADIAL 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""87.45"",""Minimum Rate"":""25.80"",""Maximum Rate"":""25.80"",""Self-Pay Rate"":""25.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG RUNWAY CLS 6FR 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG RUNWAY ART 6FR 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG RUNWAY ART 6FR 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG RUNWAY KRH 6FR 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO CONTRA 5FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""CATH ANGIO PIGTAIL 5FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN INTR-AORT 7.5F 34ML"",""Revenue Code"":""272"",""Hospital Charge"":""2156.88"",""Minimum Rate"":""636.28"",""Maximum Rate"":""636.28"",""Self-Pay Rate"":""636.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE MAILMAN 0.014x182CM"",""Revenue Code"":""272"",""Hospital Charge"":""187.5"",""Minimum Rate"":""55.31"",""Maximum Rate"":""55.31"",""Self-Pay Rate"":""55.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE LUGE 0.014x182CM"",""Revenue Code"":""272"",""Hospital Charge"":""187.5"",""Minimum Rate"":""55.31"",""Maximum Rate"":""55.31"",""Self-Pay Rate"":""55.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE PT2 0.014 x 185MC"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 5FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""21.2"",""Minimum Rate"":""6.25"",""Maximum Rate"":""6.25"",""Self-Pay Rate"":""6.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 7FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""21.2"",""Minimum Rate"":""6.25"",""Maximum Rate"":""6.25"",""Self-Pay Rate"":""6.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 8FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""21.2"",""Minimum Rate"":""6.25"",""Maximum Rate"":""6.25"",""Self-Pay Rate"":""6.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 9FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""21.2"",""Minimum Rate"":""6.25"",""Maximum Rate"":""6.25"",""Self-Pay Rate"":""6.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE RUNTHROUGH NS 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""232.5"",""Minimum Rate"":""68.59"",""Maximum Rate"":""68.59"",""Self-Pay Rate"":""68.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH IVUS ATLANTIS SR PRO"",""Revenue Code"":""272"",""Hospital Charge"":""2190"",""Minimum Rate"":""646.05"",""Maximum Rate"":""646.05"",""Self-Pay Rate"":""646.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""GALAXY STERILE SLED IVUS"",""Revenue Code"":""272"",""Hospital Charge"":""100"",""Minimum Rate"":""29.50"",""Maximum Rate"":""29.50"",""Self-Pay Rate"":""29.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE CONFIANZA .014x180CM"",""Revenue Code"":""272"",""Hospital Charge"":""375"",""Minimum Rate"":""110.63"",""Maximum Rate"":""110.63"",""Self-Pay Rate"":""110.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE CONFIANZA 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""500"",""Minimum Rate"":""147.50"",""Maximum Rate"":""147.50"",""Self-Pay Rate"":""147.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""PERCLOSE CLOSURE DEVICE"",""Revenue Code"":""278"",""Hospital Charge"":""650"",""Minimum Rate"":""191.75"",""Maximum Rate"":""191.75"",""Self-Pay Rate"":""191.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG JL5 RUNWY 6F 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*BALN CUTTING FLEXTOME *P"",""Revenue Code"":""272"",""Hospital Charge"":""2000"",""Minimum Rate"":""590.00"",""Maximum Rate"":""590.00"",""Self-Pay Rate"":""590.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING IM 6FR .070 55CM"",""Revenue Code"":""272"",""Hospital Charge"":""282.5"",""Minimum Rate"":""83.34"",""Maximum Rate"":""83.34"",""Self-Pay Rate"":""83.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RDC 6FR 55CM"",""Revenue Code"":""272"",""Hospital Charge"":""305"",""Minimum Rate"":""89.98"",""Maximum Rate"":""89.98"",""Self-Pay Rate"":""89.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RDC LARGE 6FR x 55CM"",""Revenue Code"":""272"",""Hospital Charge"":""305"",""Minimum Rate"":""89.98"",""Maximum Rate"":""89.98"",""Self-Pay Rate"":""89.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""*GUIDEWIRE MIRACLEBROS *P"",""Revenue Code"":""272"",""Hospital Charge"":""462.5"",""Minimum Rate"":""136.44"",""Maximum Rate"":""136.44"",""Self-Pay Rate"":""136.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE COR MRCLBR 3G .014x300CM"",""Revenue Code"":""272"",""Hospital Charge"":""375"",""Minimum Rate"":""110.63"",""Maximum Rate"":""110.63"",""Self-Pay Rate"":""110.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE WHISPER MS 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE GRAND SLAM .014 x 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""237.5"",""Minimum Rate"":""70.06"",""Maximum Rate"":""70.06"",""Self-Pay Rate"":""70.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RUNWAY LCB 6FR SHORT"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RUNWAY RCB 6FR SHORT"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ESSENTIALS KIT - ANGIOGRAPHY"",""Revenue Code"":""272"",""Hospital Charge"":""20.7"",""Minimum Rate"":""6.11"",""Maximum Rate"":""6.11"",""Self-Pay Rate"":""6.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE WIGGLE 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE WHISPER .014 x 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""*CATH GUIDING MACH1 ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT-DES PROMUS PREMIER *P"",""Revenue Code"":""278"",""Hospital Charge"":""3750"",""Minimum Rate"":""1,106.25"",""Maximum Rate"":""1,106.25"",""Self-Pay Rate"":""1,106.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT-CTD GRAFTMASTER *P"",""Revenue Code"":""278"",""Hospital Charge"":""5987.5"",""Minimum Rate"":""1,766.31"",""Maximum Rate"":""1,766.31"",""Self-Pay Rate"":""1,766.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RUNWAY RCB 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COMPRESS SYSTEM RADI-STOP"",""Revenue Code"":""272"",""Hospital Charge"":""100"",""Minimum Rate"":""29.50"",""Maximum Rate"":""29.50"",""Self-Pay Rate"":""29.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH SILVERHAWK EXL 7FR 135CM"",""Revenue Code"":""278"",""Hospital Charge"":""7987.5"",""Minimum Rate"":""2,356.31"",""Maximum Rate"":""2,356.31"",""Self-Pay Rate"":""2,356.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH SILVERHAWK LS-M 8FR 110CM"",""Revenue Code"":""278"",""Hospital Charge"":""7987.5"",""Minimum Rate"":""2,356.31"",""Maximum Rate"":""2,356.31"",""Self-Pay Rate"":""2,356.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH SILVERHAWK DS 135CM 7FR"",""Revenue Code"":""278"",""Hospital Charge"":""7987.5"",""Minimum Rate"":""2,356.31"",""Maximum Rate"":""2,356.31"",""Self-Pay Rate"":""2,356.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BMS PROTEGE EVERFLEX *P"",""Revenue Code"":""278"",""Hospital Charge"":""3577.6"",""Minimum Rate"":""1,055.39"",""Maximum Rate"":""1,055.39"",""Self-Pay Rate"":""1,055.39"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SARAH OPTITORQ 5FR 4.0MM"",""Revenue Code"":""272"",""Hospital Charge"":""87.45"",""Minimum Rate"":""25.80"",""Maximum Rate"":""25.80"",""Self-Pay Rate"":""25.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FINE CROSS MICRO GUIDE"",""Revenue Code"":""272"",""Hospital Charge"":""1087.5"",""Minimum Rate"":""320.81"",""Maximum Rate"":""320.81"",""Self-Pay Rate"":""320.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BIL PROTEGE EVERFLEX *P"",""Revenue Code"":""278"",""Hospital Charge"":""3717.86"",""Minimum Rate"":""1,096.77"",""Maximum Rate"":""1,096.77"",""Self-Pay Rate"":""1,096.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BIL PROTEGE GPS S-E *P"",""Revenue Code"":""278"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BIL VISI-PRO BALN *P"",""Revenue Code"":""278"",""Hospital Charge"":""3033.33"",""Minimum Rate"":""894.83"",""Maximum Rate"":""894.83"",""Self-Pay Rate"":""894.83"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""*DEVICE SPIDERFX EMBOL PROT *P"",""Revenue Code"":""278"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FEMOSTOP GOLD COMPR SYSTM"",""Revenue Code"":""272"",""Hospital Charge"":""262.5"",""Minimum Rate"":""77.44"",""Maximum Rate"":""77.44"",""Self-Pay Rate"":""77.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""EPIDURAL CONT- MINI-KIT"",""Revenue Code"":""272"",""Hospital Charge"":""35.92"",""Minimum Rate"":""10.60"",""Maximum Rate"":""10.60"",""Self-Pay Rate"":""10.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT- PARAMOUNT M GPS *P"",""Revenue Code"":""278"",""Hospital Charge"":""2412.5"",""Minimum Rate"":""711.69"",""Maximum Rate"":""711.69"",""Self-Pay Rate"":""711.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*BALN VASC NANOCROSS ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""862.5"",""Minimum Rate"":""254.44"",""Maximum Rate"":""254.44"",""Self-Pay Rate"":""254.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*BALN VASC EVERCROSS ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""425"",""Minimum Rate"":""125.38"",""Maximum Rate"":""125.38"",""Self-Pay Rate"":""125.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""IABP(INTRA-ARTIC BALN)STATLOCK"",""Revenue Code"":""272"",""Hospital Charge"":""43.34"",""Minimum Rate"":""12.79"",""Maximum Rate"":""12.79"",""Self-Pay Rate"":""12.79"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSURE DEVICE MYNX"",""Revenue Code"":""278"",""Hospital Charge"":""553.63"",""Minimum Rate"":""163.32"",""Maximum Rate"":""163.32"",""Self-Pay Rate"":""163.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT LUMINEX ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3747.5"",""Minimum Rate"":""1,105.51"",""Maximum Rate"":""1,105.51"",""Self-Pay Rate"":""1,105.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT FLAIR ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""6987.5"",""Minimum Rate"":""2,061.31"",""Maximum Rate"":""2,061.31"",""Self-Pay Rate"":""2,061.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT FLEXSTAR XL ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""6166.67"",""Minimum Rate"":""1,819.17"",""Maximum Rate"":""1,819.17"",""Self-Pay Rate"":""1,819.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN APEX ALL SIZES *P"",""Revenue Code"":""272"",""Hospital Charge"":""622.5"",""Minimum Rate"":""183.64"",""Maximum Rate"":""183.64"",""Self-Pay Rate"":""183.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""Uni" "edHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MP 410121 54CM"",""Revenue Code"":""272"",""Hospital Charge"":""1737.5"",""Minimum Rate"":""512.56"",""Maximum Rate"":""512.56"",""Self-Pay Rate"":""512.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MP 410187 54CM"",""Revenue Code"":""272"",""Hospital Charge"":""1737.5"",""Minimum Rate"":""512.56"",""Maximum Rate"":""512.56"",""Self-Pay Rate"":""512.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SNARE WIRE ELITE 0.014 2MM"",""Revenue Code"":""272"",""Hospital Charge"":""5050"",""Minimum Rate"":""1,489.75"",""Maximum Rate"":""1,489.75"",""Self-Pay Rate"":""1,489.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTALINK PLUS 1.25MM"",""Revenue Code"":""272"",""Hospital Charge"":""2987.5"",""Minimum Rate"":""881.31"",""Maximum Rate"":""881.31"",""Self-Pay Rate"":""881.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTALINK PLUS 1.75MM"",""Revenue Code"":""272"",""Hospital Charge"":""4995"",""Minimum Rate"":""1,473.53"",""Maximum Rate"":""1,473.53"",""Self-Pay Rate"":""1,473.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ROTAWIRE .014 x 325CM"",""Revenue Code"":""272"",""Hospital Charge"":""512.5"",""Minimum Rate"":""151.19"",""Maximum Rate"":""151.19"",""Self-Pay Rate"":""151.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""DEVICE CLOSURE MYNX 5FR"",""Revenue Code"":""278"",""Hospital Charge"":""553.63"",""Minimum Rate"":""163.32"",""Maximum Rate"":""163.32"",""Self-Pay Rate"":""163.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT - LEFT HEART - MANIFOLD"",""Revenue Code"":""272"",""Hospital Charge"":""87.41"",""Minimum Rate"":""25.79"",""Maximum Rate"":""25.79"",""Self-Pay Rate"":""25.79"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1759"",""DESC"":""CATH ULTRA ICE IMAGING 9FR"",""Revenue Code"":""278"",""Hospital Charge"":""2375"",""Minimum Rate"":""700.63"",""Maximum Rate"":""700.63"",""Self-Pay Rate"":""700.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BMS VISION ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3239.06"",""Minimum Rate"":""955.52"",""Maximum Rate"":""955.52"",""Self-Pay Rate"":""955.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN QUANTUM ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""622.5"",""Minimum Rate"":""183.64"",""Maximum Rate"":""183.64"",""Self-Pay Rate"":""183.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN MAVERICK ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""622.5"",""Minimum Rate"":""183.64"",""Maximum Rate"":""183.64"",""Self-Pay Rate"":""183.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT-DES XIENCE ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""2875"",""Minimum Rate"":""848.13"",""Maximum Rate"":""848.13"",""Self-Pay Rate"":""848.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO AR MOD 5FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO MPA2 6FR 125CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""IABP KIT - MEGA 50ML"",""Revenue Code"":""278"",""Hospital Charge"":""2287.5"",""Minimum Rate"":""674.81"",""Maximum Rate"":""674.81"",""Self-Pay Rate"":""674.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 5 x 16 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""5723.75"",""Minimum Rate"":""1,688.51"",""Maximum Rate"":""1,688.51"",""Self-Pay Rate"":""1,688.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 5 x 22 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""5973.13"",""Minimum Rate"":""1,762.07"",""Maximum Rate"":""1,762.07"",""Self-Pay Rate"":""1,762.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 6 x 16 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""5723.75"",""Minimum Rate"":""1,688.51"",""Maximum Rate"":""1,688.51"",""Self-Pay Rate"":""1,688.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 6 x 22 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""5012.88"",""Minimum Rate"":""1,478.80"",""Maximum Rate"":""1,478.80"",""Self-Pay Rate"":""1,478.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 8 x 38 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""6115.63"",""Minimum Rate"":""1,804.11"",""Maximum Rate"":""1,804.11"",""Self-Pay Rate"":""1,804.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 8 x 59 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""6937.5"",""Minimum Rate"":""2,046.56"",""Maximum Rate"":""2,046.56"",""Self-Pay Rate"":""2,046.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT-CTD CAST 10 x 38 x 80CM"",""Revenue Code"":""278"",""Hospital Charge"":""6437.5"",""Minimum Rate"":""1,899.06"",""Maximum Rate"":""1,899.06"",""Self-Pay Rate"":""1,899.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST OPTIRAY-320 200ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.31"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.09"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST VISIPAQUE-100ML"",""Revenue Code"":""255"",""Hospital Charge"":""3.06"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.90"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BMS SMART CNTRL ALL SZ*P"",""Revenue Code"":""278"",""Hospital Charge"":""3205.55"",""Minimum Rate"":""945.64"",""Maximum Rate"":""945.64"",""Self-Pay Rate"":""945.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT-BMS SMART LONG ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3968.75"",""Minimum Rate"":""1,170.78"",""Maximum Rate"":""1,170.78"",""Self-Pay Rate"":""1,170.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN NC QUANTUM APEX *P"",""Revenue Code"":""278"",""Hospital Charge"":""622.5"",""Minimum Rate"":""183.64"",""Maximum Rate"":""183.64"",""Self-Pay Rate"":""183.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PADS DEFIB RADIOLUCENT GEL"",""Revenue Code"":""272"",""Hospital Charge"":""112.94"",""Minimum Rate"":""33.32"",""Maximum Rate"":""33.32"",""Self-Pay Rate"":""33.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1730"",""DESC"":""CATH COURNAND WOVEN 6FR"",""Revenue Code"":""278"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA KINETIX 185CM"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA KINETIX PLUS 185CM"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA FIELDER J-TIP 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""197.5"",""Minimum Rate"":""58.26"",""Maximum Rate"":""58.26"",""Self-Pay Rate"":""58.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA FIELDER STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""197.5"",""Minimum Rate"":""58.26"",""Maximum Rate"":""58.26"",""Self-Pay Rate"":""58.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA FIELDER XT 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA ASAHI DOC EXT."",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO RADIAL 6FR .035"",""Revenue Code"":""272"",""Hospital Charge"":""101.25"",""Minimum Rate"":""29.87"",""Maximum Rate"":""29.87"",""Self-Pay Rate"":""29.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TWIN PASS .014"",""Revenue Code"":""278"",""Hospital Charge"":""870"",""Minimum Rate"":""256.65"",""Maximum Rate"":""256.65"",""Self-Pay Rate"":""256.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TWIN PASS .023"",""Revenue Code"":""278"",""Hospital Charge"":""870"",""Minimum Rate"":""256.65"",""Maximum Rate"":""256.65"",""Self-Pay Rate"":""256.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN TREK- ALL SIZES *P"",""Revenue Code"":""272"",""Hospital Charge"":""725"",""Minimum Rate"":""213.88"",""Maximum Rate"":""213.88"",""Self-Pay Rate"":""213.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH ULTRA SET - AVX"",""Revenue Code"":""272"",""Hospital Charge"":""1717.5"",""Minimum Rate"":""506.66"",""Maximum Rate"":""506.66"",""Self-Pay Rate"":""506.66"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH SET ULTRA - EXPEDIOR"",""Revenue Code"":""272"",""Hospital Charge"":""4225"",""Minimum Rate"":""1,246.38"",""Maximum Rate"":""1,246.38"",""Self-Pay Rate"":""1,246.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH SET ULTRA - DVX"",""Revenue Code"":""272"",""Hospital Charge"":""3787.5"",""Minimum Rate"":""1,117.31"",""Maximum Rate"":""1,117.31"",""Self-Pay Rate"":""1,117.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH SET ULTRA- SPIROFLEX"",""Revenue Code"":""272"",""Hospital Charge"":""4487.5"",""Minimum Rate"":""1,323.81"",""Maximum Rate"":""1,323.81"",""Self-Pay Rate"":""1,323.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH SET ULTRA- SPIROFLEX VG"",""Revenue Code"":""272"",""Hospital Charge"":""4612.5"",""Minimum Rate"":""1,360.69"",""Maximum Rate"":""1,360.69"",""Self-Pay Rate"":""1,360.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH FETCH 2 ASP. 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1062.5"",""Minimum Rate"":""313.44"",""Maximum Rate"":""313.44"",""Self-Pay Rate"":""313.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, SINGLE MANIFOLD"",""Revenue Code"":""272"",""Hospital Charge"":""62.38"",""Minimum Rate"":""18.40"",""Maximum Rate"":""18.40"",""Self-Pay Rate"":""18.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, HAND CONTROL"",""Revenue Code"":""272"",""Hospital Charge"":""110"",""Minimum Rate"":""32.45"",""Maximum Rate"":""32.45"",""Self-Pay Rate"":""32.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT, MULTI-USE SYRINGE"",""Revenue Code"":""272"",""Hospital Charge"":""87.38"",""Minimum Rate"":""25.78"",""Maximum Rate"":""25.78"",""Self-Pay Rate"":""25.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATHETER TURBOHAWK SX-C"",""Revenue Code"":""278"",""Hospital Charge"":""7987.5"",""Minimum Rate"":""2,356.31"",""Maximum Rate"":""2,356.31"",""Self-Pay Rate"":""2,356.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RENEGADE STC MICRO 20"",""Revenue Code"":""272"",""Hospital Charge"":""1112.5"",""Minimum Rate"":""328.19"",""Maximum Rate"":""328.19"",""Self-Pay Rate"":""328.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RENEGADE STC MICRO 30"",""Revenue Code"":""272"",""Hospital Charge"":""1112.5"",""Minimum Rate"":""328.19"",""Maximum Rate"":""328.19"",""Self-Pay Rate"":""328.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COIL INTERLOCK 3MM x 6CM"",""Revenue Code"":""272"",""Hospital Charge"":""1437.5"",""Minimum Rate"":""424.06"",""Maximum Rate"":""424.06"",""Self-Pay Rate"":""424.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COIL INTERLOCK 5MM x 15CM"",""Revenue Code"":""272"",""Hospital Charge"":""1437.5"",""Minimum Rate"":""424.06"",""Maximum Rate"":""424.06"",""Self-Pay Rate"":""424.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE GUIDERIGHT 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""43.75"",""Minimum Rate"":""12.91"",""Maximum Rate"":""12.91"",""Self-Pay Rate"":""12.91"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE IABP SUPPORT"",""Revenue Code"":""272"",""Hospital Charge"":""58.5"",""Minimum Rate"":""17.26"",""Maximum Rate"":""17.26"",""Self-Pay Rate"":""17.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH SILVERHAWK EXL 7FR 135CM"",""Revenue Code"":""278"",""Hospital Charge"":""7987.5"",""Minimum Rate"":""2,356.31"",""Maximum Rate"":""2,356.31"",""Self-Pay Rate"":""2,356.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""GRAFT SYSTEM STNT 6F 5MMx10CM"",""Revenue Code"":""278"",""Hospital Charge"":""8487.5"",""Minimum Rate"":""2,503.81"",""Maximum Rate"":""2,503.81"",""Self-Pay Rate"":""2,503.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT VIABAHN 5MM x 15CM 6FR"",""Revenue Code"":""278"",""Hospital Charge"":""9737.5"",""Minimum Rate"":""2,872.56"",""Maximum Rate"":""2,872.56"",""Self-Pay Rate"":""2,872.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT VIABAHN 6MM x 10CM 7FR"",""Revenue Code"":""278"",""Hospital Charge"":""7737.5"",""Minimum Rate"":""2,282.56"",""Maximum Rate"":""2,282.56"",""Self-Pay Rate"":""2,282.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT VIABAHN 5MM x 5CM"",""Revenue Code"":""278"",""Hospital Charge"":""7355"",""Minimum Rate"":""2,169.73"",""Maximum Rate"":""2,169.73"",""Self-Pay Rate"":""2,169.73"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*BALN ANGIOSCULPT EX ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""2218.75"",""Minimum Rate"":""654.53"",""Maximum Rate"":""654.53"",""Self-Pay Rate"":""654.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""BALN ANGIOSCLUPT OTW 4.0x20"",""Revenue Code"":""272"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""BALN ANGIOSCLUPT OTW 6.0x40"",""Revenue Code"":""272"",""Hospital Charge"":""2437.5"",""Minimum Rate"":""719.06"",""Maximum Rate"":""719.06"",""Self-Pay Rate"":""719.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH LANGSTON DUAL LUMEN"",""Revenue Code"":""272"",""Hospital Charge"":""367.5"",""Minimum Rate"":""108.41"",""Maximum Rate"":""108.41"",""Self-Pay Rate"":""108.41"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH IMPELLA 2.5 PUMP KIT"",""Revenue Code"":""278"",""Hospital Charge"":""62500"",""Minimum Rate"":""18,437.50"",""Maximum Rate"":""18,437.50"",""Self-Pay Rate"":""18,437.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT-DES XIENCE PRIME ALSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""5150"",""Minimum Rate"":""1,519.25"",""Maximum Rate"":""1,519.25"",""Self-Pay Rate"":""1,519.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH CROSSER 14S 146CM"",""Revenue Code"":""278"",""Hospital Charge"":""6737.5"",""Minimum Rate"":""1,987.56"",""Maximum Rate"":""1,987.56"",""Self-Pay Rate"":""1,987.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MICROSHEATH XLT 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""MASK CO2 W-ADAPTER ADULT LG"",""Revenue Code"":""271"",""Hospital Charge"":""34.69"",""Minimum Rate"":""10.23"",""Maximum Rate"":""29.55"",""Self-Pay Rate"":""10.23"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""29.55"",""ConnectiCare Exchange Rate"":""27.88"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FORCEP MYOCARD BX STRAIGHT"",""Revenue Code"":""272"",""Hospital Charge"":""512.88"",""Minimum Rate"":""151.30"",""Maximum Rate"":""151.30"",""Self-Pay Rate"":""151.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FORCEP MYOCARD BX CURVED"",""Revenue Code"":""272"",""Hospital Charge"":""512.88"",""Minimum Rate"":""151.30"",""Maximum Rate"":""151.30"",""Self-Pay Rate"":""151.30"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PATIENT CABLE 4FT O2"",""Revenue Code"":""272"",""Hospital Charge"":""350"",""Minimum Rate"":""103.25"",""Maximum Rate"":""103.25"",""Self-Pay Rate"":""103.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SENSOR O2 - ADULT"",""Revenue Code"":""272"",""Hospital Charge"":""590"",""Minimum Rate"":""174.05"",""Maximum Rate"":""174.05"",""Self-Pay Rate"":""174.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RUNWAY AR1 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AR1 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AR2 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AR1 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AR2 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AL2 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO 5FR CLS3.5"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO 5FR CLS4.0"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH IMPULSE 6FR CLS3.5"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH IMPULSE 6FR CLS4.0"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN NC TREK ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""725"",""Minimum Rate"":""213.88"",""Maximum Rate"":""213.88"",""Self-Pay Rate"":""213.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE AERIS PRESSURE 175CM"",""Revenue Code"":""272"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE AERIS PRESSURE 300MM"",""Revenue Code"":""272"",""Hospital Charge"":""1750"",""Minimum Rate"":""516.25"",""Maximum Rate"":""516.25"",""Self-Pay Rate"":""516.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" N" " ""},{""CPT-4"":""C1769"",""DESC"":""WIRE CONFIENZA PRO 9 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""75"",""Minimum Rate"":""22.13"",""Maximum Rate"":""22.13"",""Self-Pay Rate"":""22.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE CONFIENZA PRO 9 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""75"",""Minimum Rate"":""22.13"",""Maximum Rate"":""22.13"",""Self-Pay Rate"":""22.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE CONFIENZA PRO 12 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""375"",""Minimum Rate"":""110.63"",""Maximum Rate"":""110.63"",""Self-Pay Rate"":""110.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE CONFIENZA PRO 12 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""500"",""Minimum Rate"":""147.50"",""Maximum Rate"":""147.50"",""Self-Pay Rate"":""147.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATHETER-MICRO SUPERCROSS"",""Revenue Code"":""272"",""Hospital Charge"":""1275"",""Minimum Rate"":""376.13"",""Maximum Rate"":""376.13"",""Self-Pay Rate"":""376.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1900"",""DESC"":""LEAD LVH QUARTET 1458Q-86"",""Revenue Code"":""275"",""Hospital Charge"":""9675"",""Minimum Rate"":""2,854.13"",""Maximum Rate"":""8,240.20"",""Self-Pay Rate"":""2,854.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""8,240.20"",""ConnectiCare Exchange Rate"":""7,776.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NOMOLINE W - LUER LOCK"",""Revenue Code"":""272"",""Hospital Charge"":""54.5"",""Minimum Rate"":""16.08"",""Maximum Rate"":""16.08"",""Self-Pay Rate"":""16.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH FEMORAL FL6 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ETCO2 SAMPLE LINE TUBING"",""Revenue Code"":""270"",""Hospital Charge"":""5.18"",""Minimum Rate"":""1.53"",""Maximum Rate"":""4.41"",""Self-Pay Rate"":""1.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4.41"",""ConnectiCare Exchange Rate"":""4.16"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH STALTH PREDTR 2.0MMx145CM"",""Revenue Code"":""272"",""Hospital Charge"":""8487.5"",""Minimum Rate"":""2,503.81"",""Maximum Rate"":""2,503.81"",""Self-Pay Rate"":""2,503.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""TIGERWIRE ANG FLOPPY 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""262.5"",""Minimum Rate"":""77.44"",""Maximum Rate"":""77.44"",""Self-Pay Rate"":""77.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""TIGERWIRE ANG FLOPPY 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""223.7"",""Minimum Rate"":""65.99"",""Maximum Rate"":""65.99"",""Self-Pay Rate"":""65.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""TIGERWIRE ANG FLOPPY 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 6F RNWY AL1 SH"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 6F RNWY AL2 SH"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 5FR AL3"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 5FR MPA1"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 5FR LCB"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE AMPLATZ EXTR STIFF 260"",""Revenue Code"":""272"",""Hospital Charge"":""80.75"",""Minimum Rate"":""23.82"",""Maximum Rate"":""23.82"",""Self-Pay Rate"":""23.82"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AL .75 SH 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN 5FR PA 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN PA 6FR 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDE WRP SH 6FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""FLITERWIRE EZ SM 2.25 - 3.5"",""Revenue Code"":""278"",""Hospital Charge"":""3237.5"",""Minimum Rate"":""955.06"",""Maximum Rate"":""955.06"",""Self-Pay Rate"":""955.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RWNY 6FR JR5"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE BMW STR 0.14 x 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""3237.5"",""Minimum Rate"":""955.06"",""Maximum Rate"":""955.06"",""Self-Pay Rate"":""955.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PROWATER STR 0.14 x 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""412.5"",""Minimum Rate"":""121.69"",""Maximum Rate"":""121.69"",""Self-Pay Rate"":""121.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH KIT OTC - DRAGONFLY"",""Revenue Code"":""272"",""Hospital Charge"":""1875"",""Minimum Rate"":""553.13"",""Maximum Rate"":""553.13"",""Self-Pay Rate"":""553.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1766"",""DESC"":""SHEATH INTRO 11FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""62.5"",""Minimum Rate"":""18.44"",""Maximum Rate"":""18.44"",""Self-Pay Rate"":""18.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1766"",""DESC"":""SHEATH INTRO 14FR 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""65.5"",""Minimum Rate"":""19.32"",""Maximum Rate"":""19.32"",""Self-Pay Rate"":""19.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN PTV Z-MED 4.0x22.0MM"",""Revenue Code"":""272"",""Hospital Charge"":""1488.75"",""Minimum Rate"":""439.18"",""Maximum Rate"":""439.18"",""Self-Pay Rate"":""439.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN Z-MED 6.0x22.0MM"",""Revenue Code"":""272"",""Hospital Charge"":""1712.08"",""Minimum Rate"":""505.06"",""Maximum Rate"":""505.06"",""Self-Pay Rate"":""505.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN Z-MED 5.0x25MM"",""Revenue Code"":""272"",""Hospital Charge"":""1356.05"",""Minimum Rate"":""400.03"",""Maximum Rate"":""400.03"",""Self-Pay Rate"":""400.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LCB RUNWAY 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 11FR 23CM"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 14FR 23CM"",""Revenue Code"":""272"",""Hospital Charge"":""58.5"",""Minimum Rate"":""17.26"",""Maximum Rate"":""17.26"",""Self-Pay Rate"":""17.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT-DES XIENCE XPED ALL SZ*"",""Revenue Code"":""278"",""Hospital Charge"":""4087.5"",""Minimum Rate"":""1,205.81"",""Maximum Rate"":""1,205.81"",""Self-Pay Rate"":""1,205.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE ASAHI SION 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 6F RUNWAY MP1"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 6F RUNWAY SH AR2"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""*CATH GUIDNG MCH1 w-SH ALSZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""COVER ICF PROBE"",""Revenue Code"":""272"",""Hospital Charge"":""22.2"",""Minimum Rate"":""6.55"",""Maximum Rate"":""6.55"",""Self-Pay Rate"":""6.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1900"",""DESC"":""LEAD LVH QUARTET 1458Q - 86"",""Revenue Code"":""275"",""Hospital Charge"":""4850"",""Minimum Rate"":""1,430.75"",""Maximum Rate"":""4,130.75"",""Self-Pay Rate"":""1,430.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""4,130.75"",""ConnectiCare Exchange Rate"":""3,898.43"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATHETER GUIDEZILLA 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""1250"",""Minimum Rate"":""368.75"",""Maximum Rate"":""368.75"",""Self-Pay Rate"":""368.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH KIT CV- THERMA POUCH"",""Revenue Code"":""278"",""Hospital Charge"":""25.6"",""Minimum Rate"":""7.55"",""Maximum Rate"":""7.55"",""Self-Pay Rate"":""7.55"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO 3.5FR EXPO 6Fx100"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH ANGIO FL4.5 EXPO 6Fx100"",""Revenue Code"":""278"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO GLIDE .021 x 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""132.5"",""Minimum Rate"":""39.09"",""Maximum Rate"":""39.09"",""Self-Pay Rate"":""39.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE STR STIFF .035 x 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""126.13"",""Minimum Rate"":""37.21"",""Maximum Rate"":""37.21"",""Self-Pay Rate"":""37.21"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH ANGIO MPB1 EXPO 6Fx100CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""LEAD ELECTRD PACER 4FR x 115CM"",""Revenue Code"":""275"",""Hospital Charge"":""302.5"",""Minimum Rate"":""89.24"",""Maximum Rate"":""257.64"",""Self-Pay Rate"":""89.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""257.64"",""ConnectiCare Exchange Rate"":""243.15"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""HANDLE GWIRE STEERING VSL"",""Revenue Code"":""272"",""Hospital Charge"":""16.25"",""Minimum Rate"":""4.79"",""Maximum Rate"":""4.79"",""Self-Pay Rate"":""4.79"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TIGER RADIAL 5FR 4MM"",""Revenue Code"":""272"",""Hospital Charge"":""87.45"",""Minimum Rate"":""25.80"",""Maximum Rate"":""25.80"",""Self-Pay Rate"":""25.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 4FR x 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""248"",""Minimum Rate"":""73.16"",""Maximum Rate"":""73.16"",""Self-Pay Rate"":""73.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""INTRODUCER KIT ARROW 8.5FR"",""Revenue Code"":""272"",""Hospital Charge"":""68.94"",""Minimum Rate"":""20.34"",""Maximum Rate"":""20.34"",""Self-Pay Rate"":""20.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG EBU LAUNCH 3.5 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1880"",""DESC"":""FILTER GUNTHER TULP 8.5F 65MM"",""Revenue Code"":""278"",""Hospital Charge"":""2573.25"",""Minimum Rate"":""759.11"",""Maximum Rate"":""759.11"",""Self-Pay Rate"":""759.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""CATH PIGTAIL DX STR 6F 125CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PUMP SET IMPELLA CP"",""Revenue Code"":""278"",""Hospital Charge"":""62500"",""Minimum Rate"":""18,437.50"",""Maximum Rate"":""18,437.50"",""Self-Pay Rate"":""18,437.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE EXTRA SPORT 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""195"",""Minimum Rate"":""57.53"",""Maximum Rate"":""57.53"",""Self-Pay Rate"":""57.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE EXTRA SPORT 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""195"",""Minimum Rate"":""57.53"",""Maximum Rate"":""57.53"",""Self-Pay Rate"":""57.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STNT VIABAHN 8MM x 10CM-1"",""Revenue Code"":""278"",""Hospital Charge"":""8312.5"",""Minimum Rate"":""2,452.19"",""Maximum Rate"":""2,452.19"",""Self-Pay Rate"":""2,452.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""GRAFT VIABAHN STNT 8MMx10CM-2"",""Revenue Code"":""278"",""Hospital Charge"":""8187.5"",""Minimum Rate"":""2,415.31"",""Maximum Rate"":""2,415.31"",""Self-Pay Rate"":""2,415.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""FOAM ARM REST"",""Revenue Code"":""270"",""Hospital Charge"":""73.75"",""Minimum Rate"":""21.76"",""Maximum Rate"":""62.81"",""Self-Pay Rate"":""21.76"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""62.81"",""ConnectiCare Exchange Rate"":""59.28"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE MOVABLE CORE 0.35 - 145"",""Revenue Code"":""272"",""Hospital Charge"":""38.2"",""Minimum Rate"":""11.27"",""Maximum Rate"":""11.27"",""Self-Pay Rate"":""11.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ROADRUNNER ES 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""278.13"",""Minimum Rate"":""82.05"",""Maximum Rate"":""82.05"",""Self-Pay Rate"":""82.05"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ROADRUNNER ES 270CM"",""Revenue Code"":""272"",""Hospital Charge"":""306.25"",""Minimum Rate"":""90.34"",""Maximum Rate"":""90.34"",""Self-Pay Rate"":""90.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE SUPRACORE 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""217.5"",""Minimum Rate"":""64.16"",""Maximum Rate"":""64.16"",""Self-Pay Rate"":""64.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE SUPRACORE 300CM .035"",""Revenue Code"":""272"",""Hospital Charge"":""217.5"",""Minimum Rate"":""64.16"",""Maximum Rate"":""64.16"",""Self-Pay Rate"":""64.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO CHECKFLO 12F13CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""INFLATION DEVICE CID"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRAPE RADIAL - FEMORAL"",""Revenue Code"":""272"",""Hospital Charge"":""40.32"",""Minimum Rate"":""11.89"",""Maximum Rate"":""11.89"",""Self-Pay Rate"":""11.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""WIRE PRESSURE CABLE"",""Revenue Code"":""272"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE BMW UBNIVERSAL 11 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING KIMNY RADIAL 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RADIAL CURVE 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING MUTA CURV 6FR 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING MUTA CURV 6FR 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE DILATATION 20MM"",""Revenue Code"":""272"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE DILATATION 22MM"",""Revenue Code"":""272"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE DILATATION 24MM"",""Revenue Code"":""272"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE DILATATION 26MM"",""Revenue Code"":""272"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""VIPERWIRE 335CM"",""Revenue Code"":""272"",""Hospital Charge"":""425"",""Minimum Rate"":""125.38"",""Maximum Rate"":""125.38"",""Self-Pay Rate"":""125.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE 8FR AL.75 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE 8FR AL1 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE 8FR EBU 3.5 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE 8FR EBU 4.0 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDELINER 8FR"",""Revenue Code"":""272"",""Hospital Charge"":""1095"",""Minimum Rate"":""323.03"",""Maximum Rate"":""323.03"",""Self-Pay Rate"":""323.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA" ",Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH VENTURE RX"",""Revenue Code"":""272"",""Hospital Charge"":""1822.5"",""Minimum Rate"":""537.64"",""Maximum Rate"":""537.64"",""Self-Pay Rate"":""537.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH VENTURE OTW"",""Revenue Code"":""272"",""Hospital Charge"":""1785"",""Minimum Rate"":""526.58"",""Maximum Rate"":""526.58"",""Self-Pay Rate"":""526.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE GUIDE R350"",""Revenue Code"":""272"",""Hospital Charge"":""447.5"",""Minimum Rate"":""132.01"",""Maximum Rate"":""132.01"",""Self-Pay Rate"":""132.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""GUARDIAN TUOHY"",""Revenue Code"":""272"",""Hospital Charge"":""147.5"",""Minimum Rate"":""43.51"",""Maximum Rate"":""43.51"",""Self-Pay Rate"":""43.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 11FR 25CM"",""Revenue Code"":""272"",""Hospital Charge"":""49.88"",""Minimum Rate"":""14.71"",""Maximum Rate"":""14.71"",""Self-Pay Rate"":""14.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 14FR 35CM"",""Revenue Code"":""272"",""Hospital Charge"":""1325"",""Minimum Rate"":""390.88"",""Maximum Rate"":""390.88"",""Self-Pay Rate"":""390.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO 14FR 25CM"",""Revenue Code"":""272"",""Hospital Charge"":""1325"",""Minimum Rate"":""390.88"",""Maximum Rate"":""390.88"",""Self-Pay Rate"":""390.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TORNUS 2.6FR"",""Revenue Code"":""272"",""Hospital Charge"":""1837.5"",""Minimum Rate"":""542.06"",""Maximum Rate"":""542.06"",""Self-Pay Rate"":""542.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CORSAIR 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""2125"",""Minimum Rate"":""626.88"",""Maximum Rate"":""626.88"",""Self-Pay Rate"":""626.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CORSAIR 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""2125"",""Minimum Rate"":""626.88"",""Maximum Rate"":""626.88"",""Self-Pay Rate"":""626.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1773"",""DESC"":""ENSNARE 18MM - 30MM"",""Revenue Code"":""272"",""Hospital Charge"":""800"",""Minimum Rate"":""236.00"",""Maximum Rate"":""236.00"",""Self-Pay Rate"":""236.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE STINGRAY 185CM"",""Revenue Code"":""272"",""Hospital Charge"":""687.5"",""Minimum Rate"":""202.81"",""Maximum Rate"":""202.81"",""Self-Pay Rate"":""202.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE STINGRAY EXTENSION"",""Revenue Code"":""272"",""Hospital Charge"":""200"",""Minimum Rate"":""59.00"",""Maximum Rate"":""59.00"",""Self-Pay Rate"":""59.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN VIDA 18MM"",""Revenue Code"":""272"",""Hospital Charge"":""2375"",""Minimum Rate"":""700.63"",""Maximum Rate"":""700.63"",""Self-Pay Rate"":""700.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""*CATH GUIDING MACH1 ALLSZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT GRFTMSTR RX 6F ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""5987.5"",""Minimum Rate"":""1,766.31"",""Maximum Rate"":""1,766.31"",""Self-Pay Rate"":""1,766.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TR BAND STANDARD W-INFLATOR"",""Revenue Code"":""270"",""Hospital Charge"":""100"",""Minimum Rate"":""29.50"",""Maximum Rate"":""85.17"",""Self-Pay Rate"":""29.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""85.17"",""ConnectiCare Exchange Rate"":""80.38"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE 0.38 STIFF-STR 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""114"",""Minimum Rate"":""33.63"",""Maximum Rate"":""33.63"",""Self-Pay Rate"":""33.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE 0.38 STIFF-STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""118.25"",""Minimum Rate"":""34.88"",""Maximum Rate"":""34.88"",""Self-Pay Rate"":""34.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE PTCA FIELDER XT 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""450"",""Minimum Rate"":""132.75"",""Maximum Rate"":""132.75"",""Self-Pay Rate"":""132.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STNT-BMS MINI VISION 2.0 x 08"",""Revenue Code"":""278"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STNT-BMS MINI-VISION 2.0 x 12"",""Revenue Code"":""278"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYR ANGIOPLASTY 30ATM 13IN"",""Revenue Code"":""272"",""Hospital Charge"":""157.5"",""Minimum Rate"":""46.46"",""Maximum Rate"":""46.46"",""Self-Pay Rate"":""46.46"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH BENS-HENF .038 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 6FRx90"",""Revenue Code"":""272"",""Hospital Charge"":""292.5"",""Minimum Rate"":""86.29"",""Maximum Rate"":""86.29"",""Self-Pay Rate"":""86.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACL 7FRx90CM"",""Revenue Code"":""272"",""Hospital Charge"":""292.5"",""Minimum Rate"":""86.29"",""Maximum Rate"":""86.29"",""Self-Pay Rate"":""86.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DELIVERY SYSTEM POWER PLUS"",""Revenue Code"":""272"",""Hospital Charge"":""85"",""Minimum Rate"":""25.08"",""Maximum Rate"":""25.08"",""Self-Pay Rate"":""25.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBING SMART CAPNOLINE ETCO2"",""Revenue Code"":""272"",""Hospital Charge"":""38.78"",""Minimum Rate"":""11.44"",""Maximum Rate"":""11.44"",""Self-Pay Rate"":""11.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH OMNI-SOFT VU 4F x 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""406.88"",""Minimum Rate"":""120.03"",""Maximum Rate"":""120.03"",""Self-Pay Rate"":""120.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH SUPER ARROW-FLEX 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""157.5"",""Minimum Rate"":""46.46"",""Maximum Rate"":""46.46"",""Self-Pay Rate"":""46.46"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH SUPER ARROW-FLEX 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""185"",""Minimum Rate"":""54.58"",""Maximum Rate"":""54.58"",""Self-Pay Rate"":""54.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH SUPER ARROW-FLEX 7FR"",""Revenue Code"":""272"",""Hospital Charge"":""122"",""Minimum Rate"":""35.99"",""Maximum Rate"":""35.99"",""Self-Pay Rate"":""35.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH SUPER ARROW-FLEX 8FR"",""Revenue Code"":""272"",""Hospital Charge"":""122"",""Minimum Rate"":""35.99"",""Maximum Rate"":""35.99"",""Self-Pay Rate"":""35.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1714"",""DESC"":""CATH CROSSER"",""Revenue Code"":""278"",""Hospital Charge"":""7980"",""Minimum Rate"":""2,354.10"",""Maximum Rate"":""2,354.10"",""Self-Pay Rate"":""2,354.10"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING USHER"",""Revenue Code"":""272"",""Hospital Charge"":""1170"",""Minimum Rate"":""345.15"",""Maximum Rate"":""345.15"",""Self-Pay Rate"":""345.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH SIDEKICK"",""Revenue Code"":""272"",""Hospital Charge"":""1032.5"",""Minimum Rate"":""304.59"",""Maximum Rate"":""304.59"",""Self-Pay Rate"":""304.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT BMS REBEL ALLSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""1750"",""Minimum Rate"":""516.25"",""Maximum Rate"":""516.25"",""Self-Pay Rate"":""516.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING CONVEY LBU 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING CONVEY LBU 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""120"",""Minimum Rate"":""35.40"",""Maximum Rate"":""35.40"",""Self-Pay Rate"":""35.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""INTRO KIT ARWGRD 8.5FR x4 1-8"",""Revenue Code"":""272"",""Hospital Charge"":""111.8"",""Minimum Rate"":""32.98"",""Maximum Rate"":""32.98"",""Self-Pay Rate"":""32.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ROSEN STRTR .035 x 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""250"",""Minimum Rate"":""73.75"",""Maximum Rate"":""73.75"",""Self-Pay Rate"":""73.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BLNKT HYPOTHERM ADULT 25x64IN"",""Revenue Code"":""271"",""Hospital Charge"":""77.38"",""Minimum Rate"":""22.83"",""Maximum Rate"":""65.90"",""Self-Pay Rate"":""22.83"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""65.90"",""ConnectiCare Exchange Rate"":""62.20"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH ANGIO OMNI 5FR x 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""44.88"",""Minimum Rate"":""13.24"",""Maximum Rate"":""13.24"",""Self-Pay Rate"":""13.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH ANGIO RUC .035 x 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""417.5"",""Minimum Rate"":""123.16"",""Maximum Rate"":""123.16"",""Self-Pay Rate"":""123.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""*CATH QUICKCROSS ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""83.5"",""Minimum Rate"":""24.63"",""Maximum Rate"":""24.63"",""Self-Pay Rate"":""24.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PLUG VASC AMPLAZER 8MM"",""Revenue Code"":""278"",""Hospital Charge"":""2375"",""Minimum Rate"":""700.63"",""Maximum Rate"":""700.63"",""Self-Pay Rate"":""700.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PLUG VASC II AMPLAZER 10MM"",""Revenue Code"":""278"",""Hospital Charge"":""2080"",""Minimum Rate"":""613.60"",""Maximum Rate"":""613.60"",""Self-Pay Rate"":""613.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PLUG VASC AMPLAZER 12MM"",""Revenue Code"":""278"",""Hospital Charge"":""2080"",""Minimum Rate"":""613.60"",""Maximum Rate"":""613.60"",""Self-Pay Rate"":""613.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PLUG VASC AMPLAZER 14MM"",""Revenue Code"":""278"",""Hospital Charge"":""2080"",""Minimum Rate"":""613.60"",""Maximum Rate"":""613.60"",""Self-Pay Rate"":""613.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE J-FXD CORE .035 x 260CM\"""",""Revenue Code"":""272"",""Hospital Charge"":""41.29"",""Minimum Rate"":""12.18"",""Maximum Rate"":""12.18"",""Self-Pay Rate"":""12.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""GLIDESHEATH 4FR w0.21 INTRODCR"",""Revenue Code"":""272"",""Hospital Charge"":""101.25"",""Minimum Rate"":""29.87"",""Maximum Rate"":""29.87"",""Self-Pay Rate"":""29.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING EBU 6FR 3.5 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING EBU 6FR 4.0 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING SH JR4 6FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING JR4 6FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AL.75 6FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING AL1 6FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING FL4 6FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SPTL AMPLAZER 25MM"",""Revenue Code"":""278"",""Hospital Charge"":""15770"",""Minimum Rate"":""4,652.15"",""Maximum Rate"":""4,652.15"",""Self-Pay Rate"":""4,652.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""DELIVRY SYS TORQUE 9F 45-80"",""Revenue Code"":""278"",""Hospital Charge"":""2300"",""Minimum Rate"":""678.50"",""Maximum Rate"":""678.50"",""Self-Pay Rate"":""678.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""EXCHNG SYS TORQVUE 12F 45-80"",""Revenue Code"":""278"",""Hospital Charge"":""1840"",""Minimum Rate"":""542.80"",""Maximum Rate"":""542.80"",""Self-Pay Rate"":""542.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT BMS INTEGRITYRX ALLSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""1487.5"",""Minimum Rate"":""438.81"",""Maximum Rate"":""438.81"",""Self-Pay Rate"":""438.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT DES RESOLUTERX ALLSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3125"",""Minimum Rate"":""921.88"",""Maximum Rate"":""921.88"",""Self-Pay Rate"":""921.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN NC EUPHORA ALLSZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""350"",""Minimum Rate"":""103.25"",""Maximum Rate"":""103.25"",""Self-Pay Rate"":""103.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN SPRINTER ALLSZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""348.13"",""Minimum Rate"":""102.70"",""Maximum Rate"":""102.70"",""Self-Pay Rate"":""102.70"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT DES XIEN-ALPINE ALLSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3532.7"",""Minimum Rate"":""1,042.15"",""Maximum Rate"":""1,042.15"",""Self-Pay Rate"":""1,042.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""EVEREST INFLATION DEVC W-KIT"",""Revenue Code"":""272"",""Hospital Charge"":""82.5"",""Minimum Rate"":""24.34"",""Maximum Rate"":""24.34"",""Self-Pay Rate"":""24.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""EVEREST INFLATION DEVICE"",""Revenue Code"":""272"",""Hospital Charge"":""82.5"",""Minimum Rate"":""24.34"",""Maximum Rate"":""24.34"",""Self-Pay Rate"":""24.34"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE PROVIA 3 STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE PROVIA 6 STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE PROVIA 9 STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE PROVIA 12 STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE THUNDER J-TIP 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE COUGAR LS J-TIP 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE INTUITION STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ZINGER LS J-TIP 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ZINGER MS J-TIP 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE ZINGER HS J-TIP 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 18MM"",""Revenue Code"":""278"",""Hospital Charge"":""15770"",""Minimum Rate"":""4,652.15"",""Maximum Rate"":""4,652.15"",""Self-Pay Rate"":""4,652.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 30MM"",""Revenue Code"":""278"",""Hospital Charge"":""15770"",""Minimum Rate"":""4,652.15"",""Maximum Rate"":""4,652.15"",""Self-Pay Rate"":""4,652.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 35MM"",""Revenue Code"":""278"",""Hospital Charge"":""15770"",""Minimum Rate"":""4,652.15"",""Maximum Rate"":""4,652.15"",""Self-Pay Rate"":""4,652.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""BALN SIZING AMPLAZER 18MM"",""Revenue Code"":""278"",""Hospital Charge"":""972.5"",""Minimum Rate"":""286.89"",""Maximum Rate"":""286.89"",""Self-Pay Rate"":""286.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""BALN SIZING AMPLAZER 24MM"",""Revenue Code"":""278"",""Hospital Charge"":""972.5"",""Minimum Rate"":""286.89"",""Maximum Rate"":""286.89"",""Self-Pay Rate"":""286.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""BALN SIZING AMPLAZER 34MM"",""Revenue Code"":""278"",""Hospital Charge"":""972.5"",""Minimum Rate"":""286.89"",""Maximum Rate"":""286.89"",""Self-Pay Rate"":""286.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2624"",""DESC"":""CARDIO MEMS HF SYSTM CM2000"",""Revenue Code"":""278"",""Hospital Charge"":""43750"",""Minimum Rate"":"" - "",""Maximum Rate"":""12,906.25"",""Self-Pay Rate"":""12,906.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" - "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE AMPLATZ SS 260CM 1CM TIP"",""Revenue Code"":""272"",""Hospital Charge"":""111.78"",""Minimum Rate"":""32.98"",""Maximum Rate"":""32.98"",""Self-Pay Rate"":""32.98"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""INTRODUCER KIT MICROPUNCTURE"",""Revenue Code"":""272"",""Hospital Charge"":""87.5"",""Minimum Rate"":""25.81"",""Maximum Rate"":""25.81"",""Self-Pay Rate"":""25.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxfo" "d Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE SAFARI SMALL 260CM 16CM"",""Revenue Code"":""272"",""Hospital Charge"":""562.5"",""Minimum Rate"":""165.94"",""Maximum Rate"":""165.94"",""Self-Pay Rate"":""165.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE SAFARI LARGE 260CM 18CM"",""Revenue Code"":""272"",""Hospital Charge"":""562.5"",""Minimum Rate"":""165.94"",""Maximum Rate"":""165.94"",""Self-Pay Rate"":""165.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2628"",""DESC"":""CATH BALN OCCLUSN CODA 40MM"",""Revenue Code"":""272"",""Hospital Charge"":""1042.5"",""Minimum Rate"":""307.54"",""Maximum Rate"":""307.54"",""Self-Pay Rate"":""307.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO SOLOPATH 19F"",""Revenue Code"":""272"",""Hospital Charge"":""1925"",""Minimum Rate"":""567.88"",""Maximum Rate"":""567.88"",""Self-Pay Rate"":""567.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYRINGE 250 MICRON 2ML"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYRINGE 400 MICRON 2ML"",""Revenue Code"":""272"",""Hospital Charge"":""387.5"",""Minimum Rate"":""114.31"",""Maximum Rate"":""114.31"",""Self-Pay Rate"":""114.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH PV ATLANTIS IV ULTRASOUND"",""Revenue Code"":""272"",""Hospital Charge"":""1600"",""Minimum Rate"":""472.00"",""Maximum Rate"":""472.00"",""Self-Pay Rate"":""472.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH FLEXOR ANSEL 9FR 45CM"",""Revenue Code"":""272"",""Hospital Charge"":""187.5"",""Minimum Rate"":""55.31"",""Maximum Rate"":""55.31"",""Self-Pay Rate"":""55.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH FLEXOR RAABE 9FR 55CM"",""Revenue Code"":""272"",""Hospital Charge"":""162.5"",""Minimum Rate"":""47.94"",""Maximum Rate"":""47.94"",""Self-Pay Rate"":""47.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""STNT PIGTAIL W-MARKR 5FR 100CM"",""Revenue Code"":""278"",""Hospital Charge"":""170"",""Minimum Rate"":""50.15"",""Maximum Rate"":""50.15"",""Self-Pay Rate"":""50.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH THREADER OTW 1.2 x 12"",""Revenue Code"":""272"",""Hospital Charge"":""1062.5"",""Minimum Rate"":""313.44"",""Maximum Rate"":""313.44"",""Self-Pay Rate"":""313.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH THREADER RX 1.2 x 12"",""Revenue Code"":""272"",""Hospital Charge"":""1062.5"",""Minimum Rate"":""313.44"",""Maximum Rate"":""313.44"",""Self-Pay Rate"":""313.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""DEVC MACH4 ENDO TXMT ZONE 30CM"",""Revenue Code"":""278"",""Hospital Charge"":""7487.5"",""Minimum Rate"":""2,208.81"",""Maximum Rate"":""2,208.81"",""Self-Pay Rate"":""2,208.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA ATLAS 12MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""825"",""Minimum Rate"":""243.38"",""Maximum Rate"":""243.38"",""Self-Pay Rate"":""243.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STENT WALL 9FR 16x60CM x75CM"",""Revenue Code"":""278"",""Hospital Charge"":""2600"",""Minimum Rate"":""767.00"",""Maximum Rate"":""767.00"",""Self-Pay Rate"":""767.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO BRITE TIP 9Fx23CM"",""Revenue Code"":""272"",""Hospital Charge"":""115"",""Minimum Rate"":""33.93"",""Maximum Rate"":""33.93"",""Self-Pay Rate"":""33.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN ULTRVRS.035 AL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""443.38"",""Minimum Rate"":""130.80"",""Maximum Rate"":""130.80"",""Self-Pay Rate"":""130.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH IVUS OPTICROSS 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""2087.3"",""Minimum Rate"":""615.75"",""Maximum Rate"":""615.75"",""Self-Pay Rate"":""615.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT CTD FLUENCY PLUS SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""5000"",""Minimum Rate"":""1,475.00"",""Maximum Rate"":""1,475.00"",""Self-Pay Rate"":""1,475.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STENT VIABAHN 10x5 120CM"",""Revenue Code"":""278"",""Hospital Charge"":""8137.5"",""Minimum Rate"":""2,400.56"",""Maximum Rate"":""2,400.56"",""Self-Pay Rate"":""2,400.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STENT VIABAHN 10x10 120CM"",""Revenue Code"":""278"",""Hospital Charge"":""8487.5"",""Minimum Rate"":""2,503.81"",""Maximum Rate"":""2,503.81"",""Self-Pay Rate"":""2,503.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE AMPLTZ EXTRA STIFF 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.85"",""Minimum Rate"":""11.17"",""Maximum Rate"":""11.17"",""Self-Pay Rate"":""11.17"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE AMPLTZ EXTRA STIFF 260MM"",""Revenue Code"":""272"",""Hospital Charge"":""44.38"",""Minimum Rate"":""13.09"",""Maximum Rate"":""13.09"",""Self-Pay Rate"":""13.09"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE LUNDERQUIST EXT STF 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""171.88"",""Minimum Rate"":""50.70"",""Maximum Rate"":""50.70"",""Self-Pay Rate"":""50.70"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE ROSEN 1.5CURVE 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""25"",""Minimum Rate"":""7.38"",""Maximum Rate"":""7.38"",""Self-Pay Rate"":""7.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE ROSEN 1.5CURV 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""56.25"",""Minimum Rate"":""16.59"",""Maximum Rate"":""16.59"",""Self-Pay Rate"":""16.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE AMPLATZ ULTRA STIFF 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR FEM NOVAFLEX 23MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR FEM NOVAFLEX 26MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR FEM NOVAFLEX 29MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR APIC ASCENDRA +23MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR APIC ASCENDRA +26MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT TAVR APIC ASCENDRA +29MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""LEAD PACR ELCTRODE 5Fx115CM"",""Revenue Code"":""275"",""Hospital Charge"":""302.5"",""Minimum Rate"":""89.24"",""Maximum Rate"":""257.64"",""Self-Pay Rate"":""89.24"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""257.64"",""ConnectiCare Exchange Rate"":""243.15"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CENTERCROSS"",""Revenue Code"":""272"",""Hospital Charge"":""2237.5"",""Minimum Rate"":""660.06"",""Maximum Rate"":""660.06"",""Self-Pay Rate"":""660.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MULTICROSS"",""Revenue Code"":""272"",""Hospital Charge"":""2237.5"",""Minimum Rate"":""660.06"",""Maximum Rate"":""660.06"",""Self-Pay Rate"":""660.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO BRITE TIP 9FR23CM"",""Revenue Code"":""272"",""Hospital Charge"":""115"",""Minimum Rate"":""33.93"",""Maximum Rate"":""33.93"",""Self-Pay Rate"":""33.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 9F 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""21.2"",""Minimum Rate"":""6.25"",""Maximum Rate"":""6.25"",""Self-Pay Rate"":""6.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PINNACLE 10F 10CM"",""Revenue Code"":""272"",""Hospital Charge"":""24.8"",""Minimum Rate"":""7.32"",""Maximum Rate"":""7.32"",""Self-Pay Rate"":""7.32"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE FIXED CORE J-CURVED 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""58.13"",""Minimum Rate"":""17.15"",""Maximum Rate"":""17.15"",""Self-Pay Rate"":""17.15"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CPS DIRECT SL2"",""Revenue Code"":""272"",""Hospital Charge"":""1721.25"",""Minimum Rate"":""507.77"",""Maximum Rate"":""507.77"",""Self-Pay Rate"":""507.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CENTERCROSS"",""Revenue Code"":""272"",""Hospital Charge"":""2237.5"",""Minimum Rate"":""660.06"",""Maximum Rate"":""660.06"",""Self-Pay Rate"":""660.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MULTICROSS"",""Revenue Code"":""272"",""Hospital Charge"":""2237.5"",""Minimum Rate"":""660.06"",""Maximum Rate"":""660.06"",""Self-Pay Rate"":""660.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE AMPLATZ .035 X 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""99.35"",""Minimum Rate"":""29.31"",""Maximum Rate"":""29.31"",""Self-Pay Rate"":""29.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PURGE CASSETTE IMPELLA"",""Revenue Code"":""272"",""Hospital Charge"":""500"",""Minimum Rate"":""147.50"",""Maximum Rate"":""147.50"",""Self-Pay Rate"":""147.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE SION BLUE STR 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""237.5"",""Minimum Rate"":""70.06"",""Maximum Rate"":""70.06"",""Self-Pay Rate"":""70.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH IAB SENSATN PLUS 8F 50ML"",""Revenue Code"":""278"",""Hospital Charge"":""2613.63"",""Minimum Rate"":""771.02"",""Maximum Rate"":""771.02"",""Self-Pay Rate"":""771.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""CATH IAB SENSATN PLUS7.5F 40ML"",""Revenue Code"":""278"",""Hospital Charge"":""2613.63"",""Minimum Rate"":""771.02"",""Maximum Rate"":""771.02"",""Self-Pay Rate"":""771.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA DORADO 10MMx4CM 80CM"",""Revenue Code"":""272"",""Hospital Charge"":""512.5"",""Minimum Rate"":""151.19"",""Maximum Rate"":""151.19"",""Self-Pay Rate"":""151.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ANGIO RIM 5FR x 65"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA PFLEX PRO 9MMx 4CM"",""Revenue Code"":""272"",""Hospital Charge"":""372.5"",""Minimum Rate"":""109.89"",""Maximum Rate"":""109.89"",""Self-Pay Rate"":""109.89"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CS BI-DIRECT FJ CRV 7FR"",""Revenue Code"":""272"",""Hospital Charge"":""1480"",""Minimum Rate"":""436.60"",""Maximum Rate"":""436.60"",""Self-Pay Rate"":""436.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TURNPIKE MICRO 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""1275"",""Minimum Rate"":""376.13"",""Maximum Rate"":""376.13"",""Self-Pay Rate"":""376.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE GAIA THIRD 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE GAIA SECOND 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""INTRODUCER KIT VSI 4FR"",""Revenue Code"":""272"",""Hospital Charge"":""96.25"",""Minimum Rate"":""28.39"",""Maximum Rate"":""28.39"",""Self-Pay Rate"":""28.39"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 10MM"",""Revenue Code"":""278"",""Hospital Charge"":""16557.5"",""Minimum Rate"":""4,884.46"",""Maximum Rate"":""4,884.46"",""Self-Pay Rate"":""4,884.46"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 12MM"",""Revenue Code"":""278"",""Hospital Charge"":""16557.5"",""Minimum Rate"":""4,884.46"",""Maximum Rate"":""4,884.46"",""Self-Pay Rate"":""4,884.46"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SEPTL AMPLAZER 14MM"",""Revenue Code"":""278"",""Hospital Charge"":""16557.5"",""Minimum Rate"":""4,884.46"",""Maximum Rate"":""4,884.46"",""Self-Pay Rate"":""4,884.46"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1730"",""DESC"":""CATH DUODECA LG CURL 2-8 SPACE"",""Revenue Code"":""278"",""Hospital Charge"":""2499.48"",""Minimum Rate"":""737.35"",""Maximum Rate"":""737.35"",""Self-Pay Rate"":""737.35"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYR MICROSPHERE 700MICRON 2ML"",""Revenue Code"":""272"",""Hospital Charge"":""437.5"",""Minimum Rate"":""129.06"",""Maximum Rate"":""129.06"",""Self-Pay Rate"":""129.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH PIGTAIL STRGHT 5FR 125CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NAVVUS 150CM"",""Revenue Code"":""278"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE GAIA FIRST 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE RG3 PTCA 330CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE SAFARI 2 SML CURV 275CM"",""Revenue Code"":""272"",""Hospital Charge"":""562.5"",""Minimum Rate"":""165.94"",""Maximum Rate"":""165.94"",""Self-Pay Rate"":""165.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR EBU 3.5 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR EBU 4.0 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR AL1 SH 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 7FR JR4 SH 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING EBU 7FR 3.75MM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN SC EUPHORA ALL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""332.23"",""Minimum Rate"":""98.01"",""Maximum Rate"":""98.01"",""Self-Pay Rate"":""98.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ADH DERMABOND 2.0CA 0.5ML"",""Revenue Code"":""272"",""Hospital Charge"":""46.14"",""Minimum Rate"":""13.61"",""Maximum Rate"":""13.61"",""Self-Pay Rate"":""13.61"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT SAPIEN3 TRANSCATH SYS 20MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT SAPIEN3 TRANSCATH SYS 23MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT SAPIEN3 TRANSCATH SYS 26MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT SAPIEN3 TRANSCATH SYS 29MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1766"",""DESC"":""INTRO AGILIS SML STERABLE 40CM"",""Revenue Code"":""272"",""Hospital Charge"":""2637.5"",""Minimum Rate"":""778.06"",""Maximum Rate"":""778.06"",""Self-Pay Rate"":""778.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE AMPLATZ SS .035x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""300"",""Minimum Rate"":""88.50"",""Maximum Rate"":""88.50"",""Self-Pay Rate"":""88.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STENT ILIAC SMART 6X40MMX120CM"",""Revenue Code"":""278"",""Hospital Charge"":""1812.5"",""Minimum Rate"":""534.69"",""Maximum Rate"":""534.69"",""Self-Pay Rate"":""534.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN STERLING SL 4x100MM"",""Revenue Code"":""272"",""Hospital Charge"":""650"",""Minimum Rate"":""191.75"",""Maximum Rate"":""191.75"",""Self-Pay Rate"":""191.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STENT SMART 6MM x 150MM"",""Revenue Code"":""278"",""Hospital Charge"":""4062.5"",""Minimum Rate"":""1,198.44"",""Maximum Rate"":""1,198.44"",""Self-Pay Rate"":""1,198.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STENT ZILVER PTX 7 x 40"",""Revenue Code"":""278"",""Hospital Charge"":""2937.5"",""Minimum Rate"":""866.56"",""Maximum Rate"":""866.56"",""Self-Pay Rate"":""866.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""STENT ZILVER PTX 6 x 100"",""Revenue Code"":""278"",""Hospital Charge"":""4487.5"",""Minimum Rate"":""1,323.81"",""Maximum Rate"":""1,323.81"",""Self-Pay Rate"":""1,323.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO PAPA LAUNCHR 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH KIT CV DL MAC 9FRx10CM"",""Revenue Code"":""278"",""Hospital Charge"":""223.81"",""Minimum Rate"":""66.02"",""Maximum Rate"":""66.02"",""Self-Pay Rate"":""66.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH SWAN-GANZ COMBO 110CM 8F"",""Revenue Code"":""278"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthe" " PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER AMPLAZER SEPTAL 16MM"",""Revenue Code"":""278"",""Hospital Charge"":""17550"",""Minimum Rate"":""5,177.25"",""Maximum Rate"":""5,177.25"",""Self-Pay Rate"":""5,177.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER AMPLAZER SEPTAL 20MM"",""Revenue Code"":""278"",""Hospital Charge"":""17550"",""Minimum Rate"":""5,177.25"",""Maximum Rate"":""5,177.25"",""Self-Pay Rate"":""5,177.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYSTEM DELIV TORQVUE 12F 45-80"",""Revenue Code"":""272"",""Hospital Charge"":""2047.5"",""Minimum Rate"":""604.01"",""Maximum Rate"":""604.01"",""Self-Pay Rate"":""604.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE SAFARI 2 EXT SML 275CM"",""Revenue Code"":""272"",""Hospital Charge"":""562.5"",""Minimum Rate"":""165.94"",""Maximum Rate"":""165.94"",""Self-Pay Rate"":""165.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA MUSTANG 6x40x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""437.5"",""Minimum Rate"":""129.06"",""Maximum Rate"":""129.06"",""Self-Pay Rate"":""129.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA MUSTANG 7x40x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""437.5"",""Minimum Rate"":""129.06"",""Maximum Rate"":""129.06"",""Self-Pay Rate"":""129.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SIMMONS SIDEWINDR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""124"",""Minimum Rate"":""36.58"",""Maximum Rate"":""36.58"",""Self-Pay Rate"":""36.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE AORTIC EVOLUT-R 23CM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE AORTIC EVOLUT-R 26CM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE AORTIC EVOLUT-R 29CM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYSTM-DELIVERY ENVEO-R"",""Revenue Code"":""272"",""Hospital Charge"":""5275"",""Minimum Rate"":""1,556.13"",""Maximum Rate"":""1,556.13"",""Self-Pay Rate"":""1,556.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYSTM-LOADING ENVEO-R 23CM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYSTM-LOADING ENVEO-R 26-29CM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2623"",""DESC"":""STENT DES LUTONIX 6x150x130"",""Revenue Code"":""278"",""Hospital Charge"":""4250"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,253.75"",""Self-Pay Rate"":""1,253.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" - "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2623"",""DESC"":""STENT DES LUTONIX 5x150x130"",""Revenue Code"":""278"",""Hospital Charge"":""4250"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,253.75"",""Self-Pay Rate"":""1,253.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" - "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LNCHR EBU 3.5 5F"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LNCHR EBU 4.0 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LNCHR JR4 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LNCHR AL1 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CABLE AERIS RECEIVER TO GE PDM"",""Revenue Code"":""278"",""Hospital Charge"":""1500"",""Minimum Rate"":""442.50"",""Maximum Rate"":""442.50"",""Self-Pay Rate"":""442.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH EXPO MPA2 5FR 125CM"",""Revenue Code"":""272"",""Hospital Charge"":""22.5"",""Minimum Rate"":""6.64"",""Maximum Rate"":""6.64"",""Self-Pay Rate"":""6.64"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO GLIDE 6FR x .025"",""Revenue Code"":""272"",""Hospital Charge"":""206"",""Minimum Rate"":""60.77"",""Maximum Rate"":""60.77"",""Self-Pay Rate"":""60.77"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""*CNTRST OMNIPAQUE-350 ALLSZ *P"",""Revenue Code"":""255"",""Hospital Charge"":""0.2"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.06"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CANNULA NASAL KIT O2 ADULT-GE"",""Revenue Code"":""271"",""Hospital Charge"":""30.23"",""Minimum Rate"":""8.92"",""Maximum Rate"":""25.75"",""Self-Pay Rate"":""8.92"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""25.75"",""ConnectiCare Exchange Rate"":""24.30"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1880"",""DESC"":""FILTER VENA CAVA OPTION ELITE"",""Revenue Code"":""278"",""Hospital Charge"":""2500"",""Minimum Rate"":""737.50"",""Maximum Rate"":""737.50"",""Self-Pay Rate"":""737.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TURNPIKE SPIRAL 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1525"",""Minimum Rate"":""449.88"",""Maximum Rate"":""449.88"",""Self-Pay Rate"":""449.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TURNPIKE GOLD 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1525"",""Minimum Rate"":""449.88"",""Maximum Rate"":""449.88"",""Self-Pay Rate"":""449.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TURNPIKE LP 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1525"",""Minimum Rate"":""449.88"",""Maximum Rate"":""449.88"",""Self-Pay Rate"":""449.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH TURNPIKE 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1237.5"",""Minimum Rate"":""365.06"",""Maximum Rate"":""365.06"",""Self-Pay Rate"":""365.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2623"",""DESC"":""STENT DES LUTONIX 6x40x130"",""Revenue Code"":""278"",""Hospital Charge"":""3500"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,032.50"",""Self-Pay Rate"":""1,032.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" - "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE CARDIOMEMS 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSUR DEVC LAA WATCHMAN 21MM"",""Revenue Code"":""278"",""Hospital Charge"":""42500"",""Minimum Rate"":""12,537.50"",""Maximum Rate"":""12,537.50"",""Self-Pay Rate"":""12,537.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSR DEVC LAA WATCHMAN 24MM"",""Revenue Code"":""278"",""Hospital Charge"":""42500"",""Minimum Rate"":""12,537.50"",""Maximum Rate"":""12,537.50"",""Self-Pay Rate"":""12,537.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSR DEVC LAA WATCHMAN 27MM"",""Revenue Code"":""278"",""Hospital Charge"":""42500"",""Minimum Rate"":""12,537.50"",""Maximum Rate"":""12,537.50"",""Self-Pay Rate"":""12,537.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSR DEVC LAA WATCHMAN 30MM"",""Revenue Code"":""278"",""Hospital Charge"":""42500"",""Minimum Rate"":""12,537.50"",""Maximum Rate"":""12,537.50"",""Self-Pay Rate"":""12,537.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSR DEVC LAA WATCHMAN 33MM"",""Revenue Code"":""278"",""Hospital Charge"":""42500"",""Minimum Rate"":""12,537.50"",""Maximum Rate"":""12,537.50"",""Self-Pay Rate"":""12,537.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""ACCES SYST WATCHMAN SING CURVE"",""Revenue Code"":""272"",""Hospital Charge"":""2500"",""Minimum Rate"":""737.50"",""Maximum Rate"":""737.50"",""Self-Pay Rate"":""737.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""ACCES SYST WATCHMAN DBLE CURVE"",""Revenue Code"":""272"",""Hospital Charge"":""2500"",""Minimum Rate"":""737.50"",""Maximum Rate"":""737.50"",""Self-Pay Rate"":""737.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""ACCES SYST WATCHMAN ANTR CURVE"",""Revenue Code"":""272"",""Hospital Charge"":""2500"",""Minimum Rate"":""737.50"",""Maximum Rate"":""737.50"",""Self-Pay Rate"":""737.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT-NEDL MICROPUNCTURE 5F"",""Revenue Code"":""272"",""Hospital Charge"":""101"",""Minimum Rate"":""29.80"",""Maximum Rate"":""29.80"",""Self-Pay Rate"":""29.80"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1773"",""DESC"":""SNARE KIT AMPLATZ GOOSE NECK"",""Revenue Code"":""272"",""Hospital Charge"":""675"",""Minimum Rate"":""199.13"",""Maximum Rate"":""199.13"",""Self-Pay Rate"":""199.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE BABY-J 1.5MM-180CM"",""Revenue Code"":""272"",""Hospital Charge"":""100.5"",""Minimum Rate"":""29.65"",""Maximum Rate"":""29.65"",""Self-Pay Rate"":""29.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUD CARDIOFORM SEPTAL 25MM"",""Revenue Code"":""278"",""Hospital Charge"":""17492.5"",""Minimum Rate"":""5,160.29"",""Maximum Rate"":""5,160.29"",""Self-Pay Rate"":""5,160.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUD CARDIOFORM SEPTAL 30MM"",""Revenue Code"":""278"",""Hospital Charge"":""17492.5"",""Minimum Rate"":""5,160.29"",""Maximum Rate"":""5,160.29"",""Self-Pay Rate"":""5,160.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE BABY-J 1.5MM-260CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.25"",""Minimum Rate"":""33.11"",""Maximum Rate"":""33.11"",""Self-Pay Rate"":""33.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""GLIDESHEATH SLNDR 10CM 6F 0.25"",""Revenue Code"":""272"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""GLIDESHEATH SLNDR 10CM 5F 0.25"",""Revenue Code"":""272"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""GLIDESHEATH SLNDR 10CM 7F 0.25"",""Revenue Code"":""272"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH FLEXOR ANSEL 110CM 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""385.05"",""Minimum Rate"":""113.59"",""Maximum Rate"":""113.59"",""Self-Pay Rate"":""113.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1730"",""DESC"":""CATH DIAG PV MULTICRV 4F 150CM"",""Revenue Code"":""278"",""Hospital Charge"":""101.25"",""Minimum Rate"":""29.87"",""Maximum Rate"":""29.87"",""Self-Pay Rate"":""29.87"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING ACUITY PRO CS 7FR"",""Revenue Code"":""272"",""Hospital Charge"":""612.5"",""Minimum Rate"":""180.69"",""Maximum Rate"":""180.69"",""Self-Pay Rate"":""180.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLD AMPLTZR SEPTAL 22MM"",""Revenue Code"":""278"",""Hospital Charge"":""17550"",""Minimum Rate"":""5,177.25"",""Maximum Rate"":""5,177.25"",""Self-Pay Rate"":""5,177.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT DES SYNERGY RX ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""3250"",""Minimum Rate"":""958.75"",""Maximum Rate"":""958.75"",""Self-Pay Rate"":""958.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT BMS VASC SUPERA ALL SZ*P"",""Revenue Code"":""278"",""Hospital Charge"":""4125"",""Minimum Rate"":""1,216.88"",""Maximum Rate"":""1,216.88"",""Self-Pay Rate"":""1,216.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT BMS VASC ABSOLUT ALL *P"",""Revenue Code"":""278"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE STEELCORE .018x300CM"",""Revenue Code"":""272"",""Hospital Charge"":""43.5"",""Minimum Rate"":""12.83"",""Maximum Rate"":""12.83"",""Self-Pay Rate"":""12.83"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE VERSACORE HI-TORQ 145CM"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE CONNECT HI-TORQ 250x195"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE VERSACORE HI-TORQ 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""362.5"",""Minimum Rate"":""106.94"",""Maximum Rate"":""106.94"",""Self-Pay Rate"":""106.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE VERSACORE HI-TORQ 300CM"",""Revenue Code"":""272"",""Hospital Charge"":""462.5"",""Minimum Rate"":""136.44"",""Maximum Rate"":""136.44"",""Self-Pay Rate"":""136.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE COMMAND HI-TORQ .014x300"",""Revenue Code"":""272"",""Hospital Charge"":""47.5"",""Minimum Rate"":""14.01"",""Maximum Rate"":""14.01"",""Self-Pay Rate"":""14.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE CONNECT HI-TORQ 195CM"",""Revenue Code"":""272"",""Hospital Charge"":""375"",""Minimum Rate"":""110.63"",""Maximum Rate"":""110.63"",""Self-Pay Rate"":""110.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN ULTRVRS.018 AL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""487.5"",""Minimum Rate"":""143.81"",""Maximum Rate"":""143.81"",""Self-Pay Rate"":""143.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN ULTRVRS.014 AL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""487.5"",""Minimum Rate"":""143.81"",""Maximum Rate"":""143.81"",""Self-Pay Rate"":""143.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2623"",""DESC"":""*CATH BALN LUTONIX ALL SZ *P"",""Revenue Code"":""272"",""Hospital Charge"":""3632.35"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,071.54"",""Self-Pay Rate"":""1,071.54"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" - "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LANCR RENL CRV 7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LAUNCR HOCKEY 7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LAUCR RENL DBL 7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LAUNCR SHEP CRK7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LAUNCR MULTPUR 7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING LAUNCR CHAMP 7F"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE HEMOSTASIS HONOR"",""Revenue Code"":""272"",""Hospital Charge"":""55.75"",""Minimum Rate"":""16.45"",""Maximum Rate"":""16.45"",""Self-Pay Rate"":""16.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1758"",""DESC"":""CATH ANGIO PIGTAIL 6FR 110CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DILATOR COONS 14FR"",""Revenue Code"":""272"",""Hospital Charge"":""28.03"",""Minimum Rate"":""8.27"",""Maximum Rate"":""8.27"",""Self-Pay Rate"":""8.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""INTRO SHEATH ARROW 9F 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""310"",""Minimum Rate"":""91.45"",""Maximum Rate"":""91.45"",""Self-Pay Rate"":""91.45"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DILATOR COONS 12FR"",""Revenue Code"":""272"",""Hospital Charge"":""28.03"",""Minimum Rate"":""8.27"",""Maximum Rate"":""8.27"",""Self-Pay Rate"":""8.27"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH DIAMOND BACK 1.25MMx135CM"",""Revenue Code"":""272"",""Hospital Charge"":""9487.5"",""Minimum Rate"":""2,798.81"",""Maximum Rate"":""2,798.81"",""Self-Pay Rate"":""2,798.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CANNISTER ENGINE"",""Revenue Code"":""272"",""Hospital Charge"":""912.5"",""Minimum Rate"":""269.19"",""Maximum Rate"":""269.19"",""Self-Pay Rate"":""269.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE VIPRWR .012-.014x335CM"",""Revenue Code"":""272"",""Hospital Charge"":""487.5"",""Minimum Rate"":""143.81"",""Maximum Rate"":""143.81"",""Self-Pay Rate"":""143.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE LUB VIPERSLIDE 100ML"",""Revenue Code"":""272"",""Hospital Charge"":""225"",""Minimum Rate"":""66.38"",""Maximum Rate"":""66.38"",""Self-Pay Rate"":""66.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDIN EBU 3.75 LAUNCH 6F"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING JL3 LAUNCHER 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1892"",""DESC"":""SHEATH INTRO 20x35X40 20FR"",""Revenue Code"":""272"",""Hospital Charge"":""952.5"",""Minimum Rate"":""280.99"",""Maximum Rate"":""280.99"",""Self-Pay Rate"":""280.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER AMPLATZER PFO 18MM"",""Revenue Code"":""278"",""Hospital Charge"":""24987.5"",""Minimum Rate"":""7,371.31"",""Maximum Rate"":""7,371.31"",""Self-Pay Rate"":""7,371.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER AMPLATZER PFO 25MM"",""Revenue Code"":""278"",""Hospital Charge"":""26487.5"",""Minimum Rate"":""7,813.81"",""Maximum Rate"":""7,813.81"",""Self-Pay Rate"":""7,813.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER AMPLATZER PFO 35MM"",""Revenue Code"":""278"",""Hospital Charge"":""26487.5"",""Minimum Rate"":""7,813.81"",""Maximum Rate"":""7,813.81"",""Self-Pay Rate"":""7,813.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC" ":""SYRINGE KIT MULT-USE MOD#A200V"",""Revenue Code"":""272"",""Hospital Charge"":""87.38"",""Minimum Rate"":""25.78"",""Maximum Rate"":""25.78"",""Self-Pay Rate"":""25.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ASAHI CARAVEL 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""1062.5"",""Minimum Rate"":""313.44"",""Maximum Rate"":""313.44"",""Self-Pay Rate"":""313.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ASAHI CARAVEL 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""1062.5"",""Minimum Rate"":""313.44"",""Maximum Rate"":""313.44"",""Self-Pay Rate"":""313.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH GLIDESHTH SLNDR 6F .021"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ASAHI CORSAIR PRO 150CM"",""Revenue Code"":""272"",""Hospital Charge"":""2125"",""Minimum Rate"":""626.88"",""Maximum Rate"":""626.88"",""Self-Pay Rate"":""626.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH ASAHI CORSAIR PRO 135CM"",""Revenue Code"":""272"",""Hospital Charge"":""2125"",""Minimum Rate"":""626.88"",""Maximum Rate"":""626.88"",""Self-Pay Rate"":""626.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING RDC MACH1 6Fx55CM"",""Revenue Code"":""272"",""Hospital Charge"":""191.98"",""Minimum Rate"":""56.63"",""Maximum Rate"":""56.63"",""Self-Pay Rate"":""56.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE THRUWAY .018 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN STERLING 4x20x80"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN STERLING 5x20x80"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN STERLING 7x20x80"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN STERLING 7x20x80"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STNT RENAL EXPRESS SD 4x18x90"",""Revenue Code"":""278"",""Hospital Charge"":""2437.5"",""Minimum Rate"":""719.06"",""Maximum Rate"":""719.06"",""Self-Pay Rate"":""719.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STNT RENAL EXPRESS SD 5X19X90"",""Revenue Code"":""278"",""Hospital Charge"":""2437.5"",""Minimum Rate"":""719.06"",""Maximum Rate"":""719.06"",""Self-Pay Rate"":""719.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH RIM HIGH TORQUE 5FR 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE IMPELLA .018 260CM"",""Revenue Code"":""272"",""Hospital Charge"":""1250"",""Minimum Rate"":""368.75"",""Maximum Rate"":""368.75"",""Self-Pay Rate"":""368.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE FLOW 22MM"",""Revenue Code"":""272"",""Hospital Charge"":""3187.5"",""Minimum Rate"":""940.31"",""Maximum Rate"":""940.31"",""Self-Pay Rate"":""940.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE FLOW 24MM"",""Revenue Code"":""272"",""Hospital Charge"":""3187.5"",""Minimum Rate"":""940.31"",""Maximum Rate"":""940.31"",""Self-Pay Rate"":""940.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO SLENDER 7FR .021"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE FLOW 18MM"",""Revenue Code"":""272"",""Hospital Charge"":""3187.5"",""Minimum Rate"":""940.31"",""Maximum Rate"":""940.31"",""Self-Pay Rate"":""940.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN TRUE FLOW 20MM"",""Revenue Code"":""272"",""Hospital Charge"":""3187.5"",""Minimum Rate"":""940.31"",""Maximum Rate"":""940.31"",""Self-Pay Rate"":""940.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN DILATION TRUE 28MM"",""Revenue Code"":""272"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN ZMED 28MMx4.0CM"",""Revenue Code"":""272"",""Hospital Charge"":""1863.53"",""Minimum Rate"":""549.74"",""Maximum Rate"":""549.74"",""Self-Pay Rate"":""549.74"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STENT BMS OMNLNK ELITE ALSZ*P"",""Revenue Code"":""278"",""Hospital Charge"":""2312.5"",""Minimum Rate"":""682.19"",""Maximum Rate"":""682.19"",""Self-Pay Rate"":""682.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH IVUS OPTICROSS 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""1912.5"",""Minimum Rate"":""564.19"",""Maximum Rate"":""564.19"",""Self-Pay Rate"":""564.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDEZILLA 2 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""1250"",""Minimum Rate"":""368.75"",""Maximum Rate"":""368.75"",""Self-Pay Rate"":""368.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDEZILLA 2 6FR LONG"",""Revenue Code"":""272"",""Hospital Charge"":""1250"",""Minimum Rate"":""368.75"",""Maximum Rate"":""368.75"",""Self-Pay Rate"":""368.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE EVOLUTION PRO 23MM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE EVOLUTION PRO 26MM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE EVOLUTION PRO 29MM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VALVE EVOLUTION PRO 34MM"",""Revenue Code"":""278"",""Hospital Charge"":""75000"",""Minimum Rate"":""22,125.00"",""Maximum Rate"":""22,125.00"",""Self-Pay Rate"":""22,125.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYSTEM ENVEO R 23MM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYSTM ENVEO R 26&29MM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYSTEM ENVEO R 34MM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DELIVERY SYSTEM ENVEO R N"",""Revenue Code"":""272"",""Hospital Charge"":""5275"",""Minimum Rate"":""1,556.13"",""Maximum Rate"":""1,556.13"",""Self-Pay Rate"":""1,556.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""*STNT BMS LIFESTREAM ALLSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""6000"",""Minimum Rate"":""1,770.00"",""Maximum Rate"":""1,770.00"",""Self-Pay Rate"":""1,770.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN Z-MED II 30MMx4.0CM"",""Revenue Code"":""272"",""Hospital Charge"":""1925.03"",""Minimum Rate"":""567.88"",""Maximum Rate"":""567.88"",""Self-Pay Rate"":""567.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH IMPULSE FL 3 5F"",""Revenue Code"":""272"",""Hospital Charge"":""56"",""Minimum Rate"":""16.52"",""Maximum Rate"":""16.52"",""Self-Pay Rate"":""16.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING 5FR RBU 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 5FR IKARI LEFT 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 5FR IKARI LEFT 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR IKARI LEFT 3.5"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG 6FR IKARI LEFT 4.0"",""Revenue Code"":""272"",""Hospital Charge"":""175"",""Minimum Rate"":""51.63"",""Maximum Rate"":""51.63"",""Self-Pay Rate"":""51.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE EXTENSION RUNTHROUGH"",""Revenue Code"":""272"",""Hospital Charge"":""232.5"",""Minimum Rate"":""68.59"",""Maximum Rate"":""68.59"",""Self-Pay Rate"":""68.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH PRELUDE EASE 6F .021"",""Revenue Code"":""272"",""Hospital Charge"":""87.5"",""Minimum Rate"":""25.81"",""Maximum Rate"":""25.81"",""Self-Pay Rate"":""25.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH PRELUDE EASE 6F .025"",""Revenue Code"":""272"",""Hospital Charge"":""137.5"",""Minimum Rate"":""40.56"",""Maximum Rate"":""40.56"",""Self-Pay Rate"":""40.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""DEV CLOSR SYNC RDL BAND 24CM"",""Revenue Code"":""278"",""Hospital Charge"":""80"",""Minimum Rate"":""23.60"",""Maximum Rate"":""23.60"",""Self-Pay Rate"":""23.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""DEV CLOSR SYNC RDL BAND 29CM"",""Revenue Code"":""278"",""Hospital Charge"":""80"",""Minimum Rate"":""23.60"",""Maximum Rate"":""23.60"",""Self-Pay Rate"":""23.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1893"",""DESC"":""INTRO SHEATH W-CATH LOCK 6FR"",""Revenue Code"":""272"",""Hospital Charge"":""27.5"",""Minimum Rate"":""8.11"",""Maximum Rate"":""8.11"",""Self-Pay Rate"":""8.11"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NAVICRSS STR .035 x 65CM"",""Revenue Code"":""278"",""Hospital Charge"":""484.5"",""Minimum Rate"":""142.93"",""Maximum Rate"":""142.93"",""Self-Pay Rate"":""142.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NAVICRSS ANGL .035 x65CM"",""Revenue Code"":""278"",""Hospital Charge"":""484.5"",""Minimum Rate"":""142.93"",""Maximum Rate"":""142.93"",""Self-Pay Rate"":""142.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NAVICRSS STR .035 x 90CM"",""Revenue Code"":""278"",""Hospital Charge"":""484.5"",""Minimum Rate"":""142.93"",""Maximum Rate"":""142.93"",""Self-Pay Rate"":""142.93"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1729"",""DESC"":""CATH NAVICRSS ANGL .035 x 90CM"",""Revenue Code"":""278"",""Hospital Charge"":""459.75"",""Minimum Rate"":""135.63"",""Maximum Rate"":""135.63"",""Self-Pay Rate"":""135.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE MARVEL 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE SAMURAI 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH IVUS VISIONS PV IMG .018"",""Revenue Code"":""272"",""Hospital Charge"":""2000"",""Minimum Rate"":""590.00"",""Maximum Rate"":""590.00"",""Self-Pay Rate"":""590.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH INTRO FAST CATH 12F"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE AERIS PRESSURE X"",""Revenue Code"":""272"",""Hospital Charge"":""1625"",""Minimum Rate"":""479.38"",""Maximum Rate"":""479.38"",""Self-Pay Rate"":""479.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DEV INFL PRITY W-CO-PILT 20-30"",""Revenue Code"":""272"",""Hospital Charge"":""150"",""Minimum Rate"":""44.25"",""Maximum Rate"":""44.25"",""Self-Pay Rate"":""44.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWR ASAHI SUOH3 190CM .014"",""Revenue Code"":""272"",""Hospital Charge"":""325"",""Minimum Rate"":""95.88"",""Maximum Rate"":""95.88"",""Self-Pay Rate"":""95.88"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWR PILT 50 STR 0.014"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWR PILT 150 STR .014 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWR PILT 200 STR .014 190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDWR SUPRACORE 190CM .035"",""Revenue Code"":""272"",""Hospital Charge"":""217.5"",""Minimum Rate"":""64.16"",""Maximum Rate"":""64.16"",""Self-Pay Rate"":""64.16"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE PILOT 50 .014x190CM"",""Revenue Code"":""272"",""Hospital Charge"":""212.5"",""Minimum Rate"":""62.69"",""Maximum Rate"":""62.69"",""Self-Pay Rate"":""62.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYS ENVEO PRO 23MM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DELIVERY SYS ENVEO PRO 14FR"",""Revenue Code"":""272"",""Hospital Charge"":""5275"",""Minimum Rate"":""1,556.13"",""Maximum Rate"":""1,556.13"",""Self-Pay Rate"":""1,556.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DELIVERY SYS ENVEO PRO 16FR"",""Revenue Code"":""272"",""Hospital Charge"":""5275"",""Minimum Rate"":""1,556.13"",""Maximum Rate"":""1,556.13"",""Self-Pay Rate"":""1,556.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYS ENVEO 26-29-34MM"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""LD TAVR SYS ENVEO PRO 23-26-29"",""Revenue Code"":""272"",""Hospital Charge"":""975"",""Minimum Rate"":""287.63"",""Maximum Rate"":""287.63"",""Self-Pay Rate"":""287.63"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA ULTRVRS .035 12x40X75"",""Revenue Code"":""272"",""Hospital Charge"":""312.5"",""Minimum Rate"":""92.19"",""Maximum Rate"":""92.19"",""Self-Pay Rate"":""92.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA ATLAS GOLD 14x40x120"",""Revenue Code"":""272"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA ATLAS GOLD 16x40x120"",""Revenue Code"":""272"",""Hospital Charge"":""875"",""Minimum Rate"":""258.13"",""Maximum Rate"":""258.13"",""Self-Pay Rate"":""258.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE EXCHANGE .035 x 210CM"",""Revenue Code"":""272"",""Hospital Charge"":""25.5"",""Minimum Rate"":""7.52"",""Maximum Rate"":""7.52"",""Self-Pay Rate"":""7.52"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDING EBU 3.0"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN CUT WOLVRN ALL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""1875"",""Minimum Rate"":""553.13"",""Maximum Rate"":""553.13"",""Self-Pay Rate"":""553.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH IVUS VISIONS .035"",""Revenue Code"":""272"",""Hospital Charge"":""2412.5"",""Minimum Rate"":""711.69"",""Maximum Rate"":""711.69"",""Self-Pay Rate"":""711.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT DES XIENCE-SIERA ALSZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""2875"",""Minimum Rate"":""848.13"",""Maximum Rate"":""848.13"",""Self-Pay Rate"":""848.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VASC BAND 24CM"",""Revenue Code"":""272"",""Hospital Charge"":""48.75"",""Minimum Rate"":""14.38"",""Maximum Rate"":""14.38"",""Self-Pay Rate"":""14.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VASC BAND 27CM"",""Revenue Code"":""272"",""Hospital Charge"":""48.75"",""Minimum Rate"":""14.38"",""Maximum Rate"":""14.38"",""Self-Pay Rate"":""14.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""VASC BAND 29CM"",""Revenue Code"":""272"",""Hospital Charge"":""48.75"",""Minimum Rate"":""14.38"",""Maximum Rate"":""14.38"",""Self-Pay Rate"":""14.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1752"",""DESC"":""PUMP IMPELLA RP"",""Revenue Code"":""272"",""Hospital Charge"":""62500"",""Minimum Rate"":""18,437.50"",""Maximum Rate"":""18,437.50"",""Self-Pay Rate"":""18,437.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT SAPIEN3 CERTITUDE SYS 29MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDE WIRE VERRATA+ 185CM SRT"",""Revenue Code"":""272"",""Hospital Charge"":""1662.5"",""Minimum Rate"":""490.44"",""Maximum Rate"":""490.44"",""Self-Pay Rate"":""490.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GWIRE PTFE IMPELLA .027 x260CM"",""Revenue Code"":""272"",""Hospital Charge"":""1250"",""Minimum Rate"":""368.75"",""Maximum Rate"":""368.75"",""Self-Pay Rate"":""368.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1733"",""DESC"":""CORD CRYOABL ACC COAXIAL SN"",""Revenue Code"":""272"",""Hospital Charge"":""362.5"",""Minimum Rate"":""106.94"",""Maximum Rate"":""106.94"",""Self-Pay Rate"":""106.94"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1733"",""DESC"":""CORD CRYOABL ACC ELECT SN"",""Revenue Code"":""272"",""Hospital Charge"":""537.5"",""Minimum Rate"":""158.56"",""Maximum Rate"":""158.56"",""Self-Pay Rate"":""158.56"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA" "},{CPT-4"":""(blank)"",""DESC"":""CABLE PACER TEMP DISPOSABLE"",""Revenue Code"":""275"",""Hospital Charge"":""62.5"",""Minimum Rate"":""18.44"",""Maximum Rate"":""53.23"",""Self-Pay Rate"":""18.44"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""53.23"",""ConnectiCare Exchange Rate"":""50.24"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1753"",""DESC"":""CATH EAGLE EYE PLATNM SHRT TIP"",""Revenue Code"":""272"",""Hospital Charge"":""1812.5"",""Minimum Rate"":""534.69"",""Maximum Rate"":""534.69"",""Self-Pay Rate"":""534.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH REFINITY SHORT TIP"",""Revenue Code"":""272"",""Hospital Charge"":""1687.5"",""Minimum Rate"":""497.81"",""Maximum Rate"":""497.81"",""Self-Pay Rate"":""497.81"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STENT RENAL HERCULINK 5.0x18"",""Revenue Code"":""278"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STENT BMS ONYX ALL SIZES *P"",""Revenue Code"":""278"",""Hospital Charge"":""3000"",""Minimum Rate"":""885.00"",""Maximum Rate"":""885.00"",""Self-Pay Rate"":""885.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH INDIGO CATH RX W-TUBING"",""Revenue Code"":""272"",""Hospital Charge"":""4850"",""Minimum Rate"":""1,430.75"",""Maximum Rate"":""1,430.75"",""Self-Pay Rate"":""1,430.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH INDIGO SEPERATOR 4"",""Revenue Code"":""272"",""Hospital Charge"":""2200"",""Minimum Rate"":""649.00"",""Maximum Rate"":""649.00"",""Self-Pay Rate"":""649.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH INDIGO CATH 8 XTORQ 115CM"",""Revenue Code"":""272"",""Hospital Charge"":""7225"",""Minimum Rate"":""2,131.38"",""Maximum Rate"":""2,131.38"",""Self-Pay Rate"":""2,131.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH INDIGO SEPARATOR 8"",""Revenue Code"":""272"",""Hospital Charge"":""4700"",""Minimum Rate"":""1,386.50"",""Maximum Rate"":""1,386.50"",""Self-Pay Rate"":""1,386.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1757"",""DESC"":""CATH INDIGO ASPIRATOR TUBING"",""Revenue Code"":""272"",""Hospital Charge"":""1095"",""Minimum Rate"":""323.03"",""Maximum Rate"":""323.03"",""Self-Pay Rate"":""323.03"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PUMP PENUMBRA MAX CANISTER"",""Revenue Code"":""272"",""Hospital Charge"":""912.5"",""Minimum Rate"":""269.19"",""Maximum Rate"":""269.19"",""Self-Pay Rate"":""269.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1760"",""DESC"":""CLOSURE STAT SEAL DISC PLUS"",""Revenue Code"":""272"",""Hospital Charge"":""67.92"",""Minimum Rate"":""20.04"",""Maximum Rate"":""20.04"",""Self-Pay Rate"":""20.04"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""ZIPWIRE STIFF ANGL .035 x260CM"",""Revenue Code"":""272"",""Hospital Charge"":""112.8"",""Minimum Rate"":""33.28"",""Maximum Rate"":""33.28"",""Self-Pay Rate"":""33.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH QUICKCROS SELECT .014x135"",""Revenue Code"":""272"",""Hospital Charge"":""507.5"",""Minimum Rate"":""149.71"",""Maximum Rate"":""149.71"",""Self-Pay Rate"":""149.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH QUICKCROS SELECT .018x135"",""Revenue Code"":""272"",""Hospital Charge"":""507.5"",""Minimum Rate"":""149.71"",""Maximum Rate"":""149.71"",""Self-Pay Rate"":""149.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CXI 4.0 x 35 x 135 STRAIT"",""Revenue Code"":""272"",""Hospital Charge"":""400"",""Minimum Rate"":""118.00"",""Maximum Rate"":""118.00"",""Self-Pay Rate"":""118.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH CXI .035x4.0x135 ANGLED"",""Revenue Code"":""272"",""Hospital Charge"":""400"",""Minimum Rate"":""118.00"",""Maximum Rate"":""118.00"",""Self-Pay Rate"":""118.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE HI-TORQUE COMMAND 18 ST"",""Revenue Code"":""272"",""Hospital Charge"":""475"",""Minimum Rate"":""140.13"",""Maximum Rate"":""140.13"",""Self-Pay Rate"":""140.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN SSTN PLUS 7.5F 30ML"",""Revenue Code"":""272"",""Hospital Charge"":""2418.25"",""Minimum Rate"":""713.38"",""Maximum Rate"":""713.38"",""Self-Pay Rate"":""713.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1874"",""DESC"":""*STNT DES PK PAPYRUS ALL SZ *P"",""Revenue Code"":""278"",""Hospital Charge"":""7500"",""Minimum Rate"":""2,212.50"",""Maximum Rate"":""2,212.50"",""Self-Pay Rate"":""2,212.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""WIRE BARE WORKHORSE FILTER"",""Revenue Code"":""272"",""Hospital Charge"":""2000"",""Minimum Rate"":""590.00"",""Maximum Rate"":""590.00"",""Self-Pay Rate"":""590.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""EMBOSHIELD NAV6 PROTECTN DEVC"",""Revenue Code"":""272"",""Hospital Charge"":""4237.5"",""Minimum Rate"":""1,250.06"",""Maximum Rate"":""1,250.06"",""Self-Pay Rate"":""1,250.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CATH CLIP 2-PACK"",""Revenue Code"":""272"",""Hospital Charge"":""50"",""Minimum Rate"":""14.75"",""Maximum Rate"":""14.75"",""Self-Pay Rate"":""14.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GUIDNG LAUNCHR 5FR 100CM"",""Revenue Code"":""272"",""Hospital Charge"":""107.5"",""Minimum Rate"":""31.71"",""Maximum Rate"":""31.71"",""Self-Pay Rate"":""31.71"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GUIDEWIRE PROWATER 180CM"",""Revenue Code"":""272"",""Hospital Charge"":""197.5"",""Minimum Rate"":""58.26"",""Maximum Rate"":""58.26"",""Self-Pay Rate"":""58.26"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DEL SYSTEM TORQUE 8F 45 - 80"",""Revenue Code"":""272"",""Hospital Charge"":""2300"",""Minimum Rate"":""678.50"",""Maximum Rate"":""678.50"",""Self-Pay Rate"":""678.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""*CATH BALN PTA ARMADA ALL SZ*P"",""Revenue Code"":""272"",""Hospital Charge"":""625"",""Minimum Rate"":""184.38"",""Maximum Rate"":""184.38"",""Self-Pay Rate"":""184.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN INOUE PTMC 26MM"",""Revenue Code"":""272"",""Hospital Charge"":""6250"",""Minimum Rate"":""1,843.75"",""Maximum Rate"":""1,843.75"",""Self-Pay Rate"":""1,843.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN INOUE PTMC 28MM"",""Revenue Code"":""272"",""Hospital Charge"":""6250"",""Minimum Rate"":""1,843.75"",""Maximum Rate"":""1,843.75"",""Self-Pay Rate"":""1,843.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN INOUE PTMC 30MM"",""Revenue Code"":""272"",""Hospital Charge"":""6250"",""Minimum Rate"":""1,843.75"",""Maximum Rate"":""1,843.75"",""Self-Pay Rate"":""1,843.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CABLE MARQUETTE LOGIAL TRAM"",""Revenue Code"":""278"",""Hospital Charge"":""325.1"",""Minimum Rate"":""95.90"",""Maximum Rate"":""95.90"",""Self-Pay Rate"":""95.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH LITHOPLSTY BDC 7.0x60x110"",""Revenue Code"":""272"",""Hospital Charge"":""6875"",""Minimum Rate"":""2,028.13"",""Maximum Rate"":""2,028.13"",""Self-Pay Rate"":""2,028.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTAPRO ADVANCER 1.25MM"",""Revenue Code"":""272"",""Hospital Charge"":""4812.5"",""Minimum Rate"":""1,419.69"",""Maximum Rate"":""1,419.69"",""Self-Pay Rate"":""1,419.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTAPRO ADVANCER 1.5MM"",""Revenue Code"":""272"",""Hospital Charge"":""4812.5"",""Minimum Rate"":""1,419.69"",""Maximum Rate"":""1,419.69"",""Self-Pay Rate"":""1,419.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTAPRO ADVANCER 1.75MM"",""Revenue Code"":""272"",""Hospital Charge"":""4812.5"",""Minimum Rate"":""1,419.69"",""Maximum Rate"":""1,419.69"",""Self-Pay Rate"":""1,419.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1724"",""DESC"":""CATH ROTAPRO ADVANCER 2.0MM"",""Revenue Code"":""272"",""Hospital Charge"":""4812.5"",""Minimum Rate"":""1,419.69"",""Maximum Rate"":""1,419.69"",""Self-Pay Rate"":""1,419.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH BALN SAPPHIRE 2PRO 1x15MM"",""Revenue Code"":""272"",""Hospital Charge"":""500"",""Minimum Rate"":""147.50"",""Maximum Rate"":""147.50"",""Self-Pay Rate"":""147.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH TREVISIO DEL SYS 8FR"",""Revenue Code"":""272"",""Hospital Charge"":""2300"",""Minimum Rate"":""678.50"",""Maximum Rate"":""678.50"",""Self-Pay Rate"":""678.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH TREVISIO DEL SYS 9FR"",""Revenue Code"":""272"",""Hospital Charge"":""2300"",""Minimum Rate"":""678.50"",""Maximum Rate"":""678.50"",""Self-Pay Rate"":""678.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1894"",""DESC"":""SHEATH DESTINATION 8FR 90CM"",""Revenue Code"":""272"",""Hospital Charge"":""292.5"",""Minimum Rate"":""86.29"",""Maximum Rate"":""86.29"",""Self-Pay Rate"":""86.29"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT ACIST VASCULAR SYRINGE"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SPTL AMPLATZER 34MM"",""Revenue Code"":""278"",""Hospital Charge"":""19717.5"",""Minimum Rate"":""5,816.66"",""Maximum Rate"":""5,816.66"",""Self-Pay Rate"":""5,816.66"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SPTL AMPLATZER 36MM"",""Revenue Code"":""278"",""Hospital Charge"":""19717.5"",""Minimum Rate"":""5,816.66"",""Maximum Rate"":""5,816.66"",""Self-Pay Rate"":""5,816.66"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1817"",""DESC"":""OCCLUDER SPTL AMPLATZER 38MM"",""Revenue Code"":""278"",""Hospital Charge"":""19717.5"",""Minimum Rate"":""5,816.66"",""Maximum Rate"":""5,816.66"",""Self-Pay Rate"":""5,816.66"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""BALN CATH TREK II 1.20X15"",""Revenue Code"":""272"",""Hospital Charge"":""275"",""Minimum Rate"":""81.13"",""Maximum Rate"":""81.13"",""Self-Pay Rate"":""81.13"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1876"",""DESC"":""STNT BILIARY LD 9.0x30x135CM"",""Revenue Code"":""278"",""Hospital Charge"":""2437.5"",""Minimum Rate"":""719.06"",""Maximum Rate"":""719.06"",""Self-Pay Rate"":""719.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CABLE LNCS - GE"",""Revenue Code"":""272"",""Hospital Charge"":""400"",""Minimum Rate"":""118.00"",""Maximum Rate"":""118.00"",""Self-Pay Rate"":""118.00"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SENSOR ADULT SP O2"",""Revenue Code"":""272"",""Hospital Charge"":""425"",""Minimum Rate"":""125.38"",""Maximum Rate"":""125.38"",""Self-Pay Rate"":""125.38"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TAVR VALVE KIT SAPIEN 3 20MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TAVR VALVE KIT SAPIEN 3 23MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TAVR VALVE KIT SAPIEN 3 26MM"",""Revenue Code"":""278"",""Hospital Charge"":""81250"",""Minimum Rate"":""23,968.75"",""Maximum Rate"":""23,968.75"",""Self-Pay Rate"":""23,968.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96040"",""DESC"":""PREVNT COUNSEL ONC INDIV 30MIN"",""Revenue Code"":""510"",""Hospital Charge"":""155.81"",""Minimum Rate"":""45.96"",""Maximum Rate"":""45.96"",""Self-Pay Rate"":""45.96"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""IMPACT BASELINE"",""Revenue Code"":""918"",""Hospital Charge"":""60.77"",""Minimum Rate"":""17.93"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""17.93"",""Aetna Rate"":""41.57"",""Anthem HMO Rate"":""41.17"",""Anthem PPO Rate"":""41.17"",""CIGNA Rate"":""40.67"",""ConnectiCare Commercial Rate"":""51.76"",""ConnectiCare Exchange Rate"":""48.85"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""(blank)"",""DESC"":""CONCUSSION EVALUATION"",""Revenue Code"":""918"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96116"",""DESC"":""NEUROBEHAV STATUS EXAM"",""Revenue Code"":""918"",""Hospital Charge"":""399.14"",""Minimum Rate"":""117.75"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""117.75"",""Aetna Rate"":""273.05"",""Anthem HMO Rate"":""270.42"",""Anthem PPO Rate"":""270.42"",""CIGNA Rate"":""267.14"",""ConnectiCare Commercial Rate"":""339.95"",""ConnectiCare Exchange Rate"":""320.83"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""90791"",""DESC"":""PSYCH DIAGNOSTIC EVAL"",""Revenue Code"":""900"",""Hospital Charge"":""356.56"",""Minimum Rate"":""105.19"",""Maximum Rate"":""257.00"",""Self-Pay Rate"":""105.19"",""Aetna Rate"":""227.00"",""Anthem HMO Rate"":""257.00"",""Anthem PPO Rate"":""257.00"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96136"",""DESC"":""NEURPSYC TEST HEALTH PRO 1ST30"",""Revenue Code"":""918"",""Hospital Charge"":""116.42"",""Minimum Rate"":""34.34"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""34.34"",""Aetna Rate"":""192.00"",""Anthem HMO Rate"":""78.87"",""Anthem PPO Rate"":""78.87"",""CIGNA Rate"":""77.92"",""ConnectiCare Commercial Rate"":""99.15"",""ConnectiCare Exchange Rate"":""93.58"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96137"",""DESC"":""NEURPSYC TEST HEALTH PRO ADD30"",""Revenue Code"":""918"",""Hospital Charge"":""91.02"",""Minimum Rate"":""26.85"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""26.85"",""Aetna Rate"":""192.00"",""Anthem HMO Rate"":""61.67"",""Anthem PPO Rate"":""61.67"",""CIGNA Rate"":""60.92"",""ConnectiCare Commercial Rate"":""77.52"",""ConnectiCare Exchange Rate"":""73.16"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96138"",""DESC"":""NEUROPSYC TEST BY TECH 1ST30"",""Revenue Code"":""918"",""Hospital Charge"":""191.53"",""Minimum Rate"":""56.50"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""56.50"",""Aetna Rate"":""192.00"",""Anthem HMO Rate"":""129.76"",""Anthem PPO Rate"":""129.76"",""CIGNA Rate"":""128.19"",""ConnectiCare Commercial Rate"":""163.13"",""ConnectiCare Exchange Rate"":""153.95"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96139"",""DESC"":""NEURPSYC TEST BY TECH ADD30"",""Revenue Code"":""918"",""Hospital Charge"":""191.53"",""Minimum Rate"":""56.50"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""56.50"",""Aetna Rate"":""192.00"",""Anthem HMO Rate"":""129.76"",""Anthem PPO Rate"":""129.76"",""CIGNA Rate"":""128.19"",""ConnectiCare Commercial Rate"":""163.13"",""ConnectiCare Exchange Rate"":""153.95"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96132"",""DESC"":""NEUROPSYC EVAL SERV HEALTH PRO"",""Revenue Code"":""918"",""Hospital Charge"":""502.3"",""Minimum Rate"":""148.18"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""148.18"",""Aetna Rate"":""343.62"",""Anthem HMO Rate"":""340.31"",""Anthem PPO Rate"":""340.31"",""CIGNA Rate"":""336.19"",""ConnectiCare Commercial Rate"":""427.81"",""ConnectiCare Exchange Rate"":""403.75"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96133"",""DESC"":""NEUROPSYC EVAL SERV EA ADD HR"",""Revenue Code"":""918"",""Hospital Charge"":""385.04"",""Minimum Rate"":""113.59"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""113.59"",""Aetna Rate"":""263.41"",""Anthem HMO Rate"":""260.86"",""Anthem PPO Rate"":""260.86"",""CIGNA Rate"":""257.71"",""ConnectiCare Commercial Rate"":""327.94"",""ConnectiCare Exchange Rate"":""309.50"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96121"",""DESC"":""NEUROBEHAV STAT EXAM EA ADD HR"",""Revenue Code"":""918"",""Hospital Charge"":""330.75"",""Minimum Rate"":""97.57"",""Maximum Rate"":""691.00"",""Self-Pay Rate"":""97.57"",""Aetna Rate"":""226.27"",""Anthem HMO Rate"":""224.08"",""Anthem PPO Rate"":""224.08"",""CIGNA Rate"":""221.37"",""ConnectiCare Commercial Rate"":""281.70"",""ConnectiCare Exchange Rate"":""265.86"",""UnitedHealthcare\/Oxford Rate"":""691.00""},{""CPT-4"":""96116"",""DESC"":""NEUROBEHAV STATUS EXAM TELEHLT"",""Revenue Code"":""780"",""Hospital Charge"":""399.14"",""Minimum Rate"":""117.75"",""Maximum Rate"":""790.78"",""Self-Pay Rate"":""117.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""790.78"",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96132"",""DESC"":""NEURPSYC EVAL HLTH PRO TELEHLT"",""Revenue Code"":""780"",""Hospital Charge"":""502.3"",""Minimum Rate"":""148.18"",""Maximum Rate"":""148.18"",""Self-Pay Rate"":""148.18"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96133"",""DESC"":""NEURO EVAL SERV EAAD HR TELEH"",""Revenue Code"":""780"",""Hospital Charge"":""385.04"",""Minimum Rate"":""113.59"",""Maximum Rate"":""113.59"",""Self-Pay Rate"":""113.59"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""96121"",""DESC"":""NUROBEHV STAT EXAM EAADHR TELE"",""Revenue Code"":""780"",""Hospital Charge"":""330.75"",""Minimum Rate"":""97.57"",""Maximum Rate"":""97.57"",""Self-Pay Rate"":""97.57"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""78451"",""DESC"":""MYO REST-SPECT EJCT MOT SNG"",""Revenue Code"":""341"",""Hospital Charge"":""11300.81"",""Minimum Rate"":""575.53"",""Maximum Rate"":""7,515.04"",""Self-Pay Rate"":""3,085.12"",""Aetna Rate"":""6,969.21"",""Anthem HMO Rate"":""575.53"",""Anthem PPO Rate"":""7,515.04"",""CIGNA Rate"":""1,716.13"",""ConnectiCare Commercial Rate"":""2,530.99"",""ConnectiCare Exchange Rate"":""2,363.94"",""UnitedHealthcare\/Oxford Rate"":""4,302.83""},{""CPT-4"":""78452"",""DESC"":""MYO REST-SPCT EJCT MOT MUL"",""Revenue Code"":""341"",""Hospital Charge"":""11399.89"",""Minimum Rate"":""825.11"",""Maximum Rate"":""7,580.93"",""Self-Pay Rate"":""3,112.17"",""Aetna Rate"":""7,030.31"",""Anthem HMO Rate"":""825.11"",""Anthem PPO Rate"":""7,580.93"",""CIGNA Rate"":""2,479.21"",""ConnectiCare Commercial Rate"":""3,663.85"",""ConnectiCare Exchange Rate"":""3,422.02"",""UnitedHealthcare\/Oxford Rate"":""4,302.83""},{""CPT-4"":""93025"",""DESC"":""MICROVOLT T-WAVE ASSES"",""Revenue Code"":""480"",""Hospital Charge"":""2125.48"",""Minimum Rate"":""432.65"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""627.02"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""921.29"",""Anthem PPO Rate"":""921.29"",""CIGNA Rate"":""432.65"",""ConnectiCare Commercial Rate"":""1,810.27"",""ConnectiCare Exchange Rate"":""1,708.46"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93307"",""DESC"":""TTE W-O DOPPLER COMPLET"",""Revenue Code"":""480"",""Hospital Charge"":""1910.15"",""Minimum Rate"":""563.49"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""563.49"",""Aetna Rate"":""1,174.36"",""Anthem HMO Rate"":""827.95"",""Anthem PPO Rate"":""827.95"",""CIGNA Rate"":""1,530.72"",""ConnectiCare Commercial Rate"":""1,626.87"",""ConnectiCare Exchange Rate"":""1,535.38"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""A9500"",""DESC"":""Tc-99m SESTAMIBI DX- STDY DOSE"",""Revenue Code"":""343"",""Hospital Charge"":""259.09"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,057.69"",""Self-Pay Rate"":""70.73"",""Aetna Rate"":""248.64"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":""211.23"",""ConnectiCare Commercial Rate"":""1,057.69"",""ConnectiCare Exchange Rate"":""987.88"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""A9505"",""DESC"":""TL-201 THALIUM DX - MCI"",""Revenue Code"":""343"",""Hospital Charge"":""137.52"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,038.05"",""Self-Pay Rate"":""37.54"",""Aetna Rate"":""354.98"",""Anthem HMO Rate"":""87.87"",""Anthem PPO Rate"":""87.87"",""CIGNA Rate"":""314.03"",""ConnectiCare Commercial Rate"":""1,038.05"",""ConnectiCare Exchange Rate"":""969.53"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""PACU - 1ST 60 MIN - FLAT RATE"",""Revenue Code"":""710"",""Hospital Charge"":""2624.1"",""Minimum Rate"":""1,023.40"",""Maximum Rate"":""1,023.40"",""Self-Pay Rate"":""1,023.40"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU - 61 MIN & UP - MIN"",""Revenue Code"":""710"",""Hospital Charge"":""58.18"",""Minimum Rate"":""22.69"",""Maximum Rate"":""49.55"",""Self-Pay Rate"":""22.69"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""49.55"",""ConnectiCare Exchange Rate"":""46.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU 2- 1ST 60 MIN - FLAT RATE"",""Revenue Code"":""710"",""Hospital Charge"":""722.35"",""Minimum Rate"":""281.72"",""Maximum Rate"":""281.72"",""Self-Pay Rate"":""281.72"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PACU STG 2 - 61 MIN & UP - MIN"",""Revenue Code"":""710"",""Hospital Charge"":""15.94"",""Minimum Rate"":""6.22"",""Maximum Rate"":""6.22"",""Self-Pay Rate"":""6.22"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""93005"",""DESC"":""ECG ROUTINE"",""Revenue Code"":""730"",""Hospital Charge"":""768.63"",""Minimum Rate"":""185.68"",""Maximum Rate"":""654.64"",""Self-Pay Rate"":""226.75"",""Aetna Rate"":""472.55"",""Anthem HMO Rate"":""333.16"",""Anthem PPO Rate"":""333.16"",""CIGNA Rate"":""185.68"",""ConnectiCare Commercial Rate"":""654.64"",""ConnectiCare Exchange Rate"":""617.82"",""UnitedHealthcare\/Oxford Rate"":""226.00""},{""CPT-4"":""(blank)"",""DESC"":""ECG - BASELINE PRE CARD CATH"",""Revenue Code"":""730"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""93325"",""DESC"":""COLOR FLOW DOPPLER"",""Revenue Code"":""480"",""Hospital Charge"":""2006.55"",""Minimum Rate"":""591.93"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""591.93"",""Aetna Rate"":""1,233.63"",""Anthem HMO Rate"":""781.35"",""Anthem PPO Rate"":""781.35"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,708.98"",""ConnectiCare Exchange Rate"":""1,612.86"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93320"",""DESC"":""DOPPLER ECHOCARDIOGRPH"",""Revenue Code"":""480"",""Hospital Charge"":""1485.08"",""Minimum Rate"":""438.10"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""438.10"",""Aetna Rate"":""913.03"",""Anthem HMO Rate"":""643.71"",""Anthem PPO Rate"":""643.71"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,264.84"",""ConnectiCare Exchange Rate"":""1,193.71"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93321"",""DESC"":""DOPPLER ECHO LIMITED"",""Revenue Code"":""480"",""Hospital Charge"":""1522.85"",""Minimum Rate"":""449.24"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""449.24"",""Aetna Rate"":""936.25"",""Anthem HMO Rate"":""660.08"",""Anthem PPO Rate"":""660.08"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,297.01"",""ConnectiCare Exchange Rate"":""1,224.07"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93303"",""DESC"":""PEDI - ECHOCARDIOGRAPHY"",""Revenue Code"":""480"",""Hospital Charge"":""5419.29"",""Minimum Rate"":""1,530.72"",""Maximum Rate"":""4,615.61"",""Self-Pay Rate"":""1,598.69"",""Aetna Rate"":""3,331.78"",""Anthem HMO Rate"":""2,348.99"",""Anthem PPO Rate"":""2,348.99"",""CIGNA Rate"":""1,530.72"",""ConnectiCare Commercial Rate"":""4,615.61"",""ConnectiCare Exchange Rate"":""4,356.03"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93304"",""DESC"":""PEDI - ECHOCARDGM LIMITED"",""Revenue Code"":""480"",""Hospital Charge"":""2325.02"",""Minimum Rate"":""685.88"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""685.88"",""Aetna Rate"":""1,429.42"",""Anthem HMO Rate"":""1,007.78"",""Anthem PPO Rate"":""1,007.78"",""CIGNA Rate"":""1,530.72"",""ConnectiCare Commercial Rate"":""1,980.22"",""ConnectiCare Exchange Rate"":""1,868.85"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93312"",""DESC"":""TRANSESOPHAGEAL ECHO"",""Revenue Code"":""480"",""Hospital Charge"":""6182.66"",""Minimum Rate"":""1,530.72"",""Maximum Rate"":""5,265.77"",""Self-Pay Rate"":""1,823.88"",""Aetna Rate"":""3,801.10"",""Anthem HMO Rate"":""2,679.87"",""Anthem PPO Rate"":""2,679.87"",""CIGNA Rate"":""1,530.72"",""ConnectiCare Commercial Rate"":""5,265.77"",""ConnectiCare Exchange Rate"":""4,969.62"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93308"",""DESC"":""2D ECHO LIMITED STUDY"",""Revenue Code"":""480"",""Hospital Charge"":""1796.99"",""Minimum Rate"":""530.11"",""Maximum Rate"":""2,874.00"",""Sel" "-Pay Rate"":""530.11"",""Aetna Rate"":""1,104.79"",""Anthem HMO Rate"":""778.91"",""Anthem PPO Rate"":""778.91"",""CIGNA Rate"":""769.00"",""ConnectiCare Commercial Rate"":""1,530.50"",""ConnectiCare Exchange Rate"":""1,444.42"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":" "te"":""751.44"",""Aetna Rate"":""1,566.06"",""Anthem HMO Rate"":""1,104.11"",""Anthem PPO Rate"":""1,104.11"",""CIGNA Rate"":""1,530.72"",""ConnectiCare Commercial Rate"":""2,169.50"",""ConnectiCare Exchange Rate"":""2,047.49"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""93356"",""DESC"":""MYOCARDIAL STRAIN IMAG SPKL"",""Revenue Code"":""480"",""Hospital Charge"":""1050"",""Minimum Rate"":""309.75"",""Maximum Rate"":""2,874.00"",""Self-Pay Rate"":""309.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""894.29"",""ConnectiCare Exchange Rate"":""843.99"",""UnitedHealthcare\/Oxford Rate"":""2,874.00""},{""CPT-4"":""(blank)"",""DESC"":""CB 2-D ECHO W STRAIN IMAGING"",""Revenue Code"":""480"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""93798"",""DESC"":""CARDIAC REHAB 2A(1ST-36 SESS)"",""Revenue Code"":""943"",""Hospital Charge"":""507.42"",""Minimum Rate"":""149.69"",""Maximum Rate"":""432.17"",""Self-Pay Rate"":""149.69"",""Aetna Rate"":""347.13"",""Anthem HMO Rate"":""343.78"",""Anthem PPO Rate"":""343.78"",""CIGNA Rate"":""339.62"",""ConnectiCare Commercial Rate"":""432.17"",""ConnectiCare Exchange Rate"":""407.86"",""UnitedHealthcare\/Oxford Rate"":""244.00""},{""CPT-4"":""93798"",""DESC"":""CARDIAC REHAB 2B(37-72 SESS)"",""Revenue Code"":""943"",""Hospital Charge"":""507.42"",""Minimum Rate"":""149.69"",""Maximum Rate"":""432.17"",""Self-Pay Rate"":""149.69"",""Aetna Rate"":""347.13"",""Anthem HMO Rate"":""343.78"",""Anthem PPO Rate"":""343.78"",""CIGNA Rate"":""339.62"",""ConnectiCare Commercial Rate"":""432.17"",""ConnectiCare Exchange Rate"":""407.86"",""UnitedHealthcare\/Oxford Rate"":""244.00""},{""CPT-4"":""93797"",""DESC"":""INT CARD RHB ECG W-O EXC-SESS"",""Revenue Code"":""943"",""Hospital Charge"":""507.42"",""Minimum Rate"":""149.69"",""Maximum Rate"":""432.17"",""Self-Pay Rate"":""149.69"",""Aetna Rate"":""347.13"",""Anthem HMO Rate"":""343.78"",""Anthem PPO Rate"":""343.78"",""CIGNA Rate"":""339.62"",""ConnectiCare Commercial Rate"":""432.17"",""ConnectiCare Exchange Rate"":""407.86"",""UnitedHealthcare\/Oxford Rate"":""244.00""},{""CPT-4"":""93668"",""DESC"":""EXERCIS TRAING for PAD-SESSION"",""Revenue Code"":""943"",""Hospital Charge"":""224.51"",""Minimum Rate"":""66.23"",""Maximum Rate"":""244.00"",""Self-Pay Rate"":""66.23"",""Aetna Rate"":""153.59"",""Anthem HMO Rate"":""152.11"",""Anthem PPO Rate"":""152.11"",""CIGNA Rate"":""150.26"",""ConnectiCare Commercial Rate"":""191.22"",""ConnectiCare Exchange Rate"":""180.46"",""UnitedHealthcare\/Oxford Rate"":""244.00""},{""CPT-4"":""94618"",""DESC"":""6-MIN WALK - PULM STRESS TEST"",""Revenue Code"":""943"",""Hospital Charge"":""426.08"",""Minimum Rate"":""125.69"",""Maximum Rate"":""362.89"",""Self-Pay Rate"":""125.69"",""Aetna Rate"":""255.56"",""Anthem HMO Rate"":""288.67"",""Anthem PPO Rate"":""288.67"",""CIGNA Rate"":""285.18"",""ConnectiCare Commercial Rate"":""362.89"",""ConnectiCare Exchange Rate"":""342.48"",""UnitedHealthcare\/Oxford Rate"":""244.00""},{""CPT-4"":""(blank)"",""DESC"":""DRESSING KIT CENTRAL LINE"",""Revenue Code"":""272"",""Hospital Charge"":""27.35"",""Minimum Rate"":""8.07"",""Maximum Rate"":""8.07"",""Self-Pay Rate"":""8.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANGIO CUSTOM PACK W TRAY"",""Revenue Code"":""272"",""Hospital Charge"":""207.83"",""Minimum Rate"":""61.31"",""Maximum Rate"":""61.31"",""Self-Pay Rate"":""61.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE NG FEED FLXFLO 12FRx45IN"",""Revenue Code"":""272"",""Hospital Charge"":""20.31"",""Minimum Rate"":""5.99"",""Maximum Rate"":""5.99"",""Self-Pay Rate"":""5.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TRAY CATH PARA THORA 7CM"",""Revenue Code"":""272"",""Hospital Charge"":""91.25"",""Minimum Rate"":""26.92"",""Maximum Rate"":""26.92"",""Self-Pay Rate"":""26.92"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""*DEVICE SPIDERFX EMBOL PROT *P"",""Revenue Code"":""278"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2628"",""DESC"":""CATH UTERIN TORC 5FRx.035x90CM"",""Revenue Code"":""272"",""Hospital Charge"":""40.63"",""Minimum Rate"":""11.99"",""Maximum Rate"":""11.99"",""Self-Pay Rate"":""11.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""MICROCATH HI-FLO 135x180x10"",""Revenue Code"":""272"",""Hospital Charge"":""1413.75"",""Minimum Rate"":""417.06"",""Maximum Rate"":""417.06"",""Self-Pay Rate"":""417.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 50ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 75ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPQUE 350 100ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQU 350 125ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.59"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.17"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA DIAMOND 6MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA DIAMOND 8MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGLED 0.018x150CM"",""Revenue Code"":""272"",""Hospital Charge"":""136"",""Minimum Rate"":""40.12"",""Maximum Rate"":""40.12"",""Self-Pay Rate"":""40.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE MIC TRANSGAST JEJUN 22FR"",""Revenue Code"":""278"",""Hospital Charge"":""564.68"",""Minimum Rate"":""166.58"",""Maximum Rate"":""166.58"",""Self-Pay Rate"":""166.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PARTIC EMB EMBOSPHERE 900-1200"",""Revenue Code"":""278"",""Hospital Charge"":""685"",""Minimum Rate"":""202.08"",""Maximum Rate"":""202.08"",""Self-Pay Rate"":""202.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA DIAMOND 9MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""450"",""Minimum Rate"":""132.75"",""Maximum Rate"":""132.75"",""Self-Pay Rate"":""132.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 7MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH LEV1 5F x .038 x 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SOFT VU OMNI 5FR x 80CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx15CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx20CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5Fx7CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5FRx10CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT CT STELLANT DUAL SYR W-TBG"",""Revenue Code"":""272"",""Hospital Charge"":""34.85"",""Minimum Rate"":""10.28"",""Maximum Rate"":""10.28"",""Self-Pay Rate"":""10.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NEEDLE BIOPSY 18G x 15CM"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""NEEDLE BIOPSY 18G x 20CM"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 18G X 6CM 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 20GX6CM 8.5-17.3"",""Revenue Code"":""272"",""Hospital Charge"":""112.5"",""Minimum Rate"":""33.19"",""Maximum Rate"":""33.19"",""Self-Pay Rate"":""33.19"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 18G X 10CM 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 18G X 25CM 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 20G X 10CM 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 20G X 16CM 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""138.25"",""Minimum Rate"":""40.78"",""Maximum Rate"":""40.78"",""Self-Pay Rate"":""40.78"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""BX CORE INST 20G X 20M 10-20"",""Revenue Code"":""272"",""Hospital Charge"":""585"",""Minimum Rate"":""172.58"",""Maximum Rate"":""172.58"",""Self-Pay Rate"":""172.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1751"",""DESC"":""CATH HICKMAN SING LUMN 5FR"",""Revenue Code"":""272"",""Hospital Charge"":""585"",""Minimum Rate"":""172.58"",""Maximum Rate"":""172.58"",""Self-Pay Rate"":""172.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""SYRINGE SINGLE 150ML"",""Revenue Code"":""272"",""Hospital Charge"":""32.23"",""Minimum Rate"":""9.51"",""Maximum Rate"":""9.51"",""Self-Pay Rate"":""9.51"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRESSING KIT CENTRAL LINE"",""Revenue Code"":""272"",""Hospital Charge"":""27.35"",""Minimum Rate"":""8.07"",""Maximum Rate"":""8.07"",""Self-Pay Rate"":""8.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANGIO CUSTOM PACK W TRAY"",""Revenue Code"":""272"",""Hospital Charge"":""207.83"",""Minimum Rate"":""61.31"",""Maximum Rate"":""61.31"",""Self-Pay Rate"":""61.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE NG FEED FLXFLO 12FRx45IN"",""Revenue Code"":""272"",""Hospital Charge"":""20.31"",""Minimum Rate"":""5.99"",""Maximum Rate"":""5.99"",""Self-Pay Rate"":""5.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TRAY CATH PARA THORA 7CM"",""Revenue Code"":""272"",""Hospital Charge"":""91.25"",""Minimum Rate"":""26.92"",""Maximum Rate"":""26.92"",""Self-Pay Rate"":""26.92"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""*DEVICE SPIDERFX EMBOL PROT *P"",""Revenue Code"":""278"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2628"",""DESC"":""CATH UTERIN TORC 5FRx.035x90CM"",""Revenue Code"":""272"",""Hospital Charge"":""40.63"",""Minimum Rate"":""11.99"",""Maximum Rate"":""11.99"",""Self-Pay Rate"":""11.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MICRO HI-FLO 135x180x10"",""Revenue Code"":""272"",""Hospital Charge"":""1413.75"",""Minimum Rate"":""417.06"",""Maximum Rate"":""417.06"",""Self-Pay Rate"":""417.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 50ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 75ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPQUE 350 100ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQU 350 125ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.59"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.17"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 6MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 8MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGLED 0.018x150CM"",""Revenue Code"":""272"",""Hospital Charge"":""136"",""Minimum Rate"":""40.12"",""Maximum Rate"":""40.12"",""Self-Pay Rate"":""40.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE MIC TRANSGAST JEJUN 22FR"",""Revenue Code"":""278"",""Hospital Charge"":""564.68"",""Minimum Rate"":""166.58"",""Maximum Rate"":""166.58"",""Self-Pay Rate"":""166.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PARTIC EMB EMBOSPHERE 900-1200"",""Revenue Code"":""278"",""Hospital Charge"":""685"",""Minimum Rate"":""202.08"",""Maximum Rate"":""202.08"",""Self-Pay Rate"":""202.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTNH DMND 9MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""450"",""Minimum Rate"":""132.75"",""Maximum Rate"":""132.75"",""Self-Pay Rate"":""132.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 7MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH LEV1 5F x .038 x 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SOFT VU OMNI 5FR x 80CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx15CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx20CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5Fx7CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5FRx10CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT CT STELLANT DUAL SYR W-TBG"",""Revenue Code"":""272"",""Hospital Charge"":""34.85"",""Minimum Rate"":""10.28"",""Maximum Rate"":""10.28"",""Self-Pay Rate"":""10.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""DRESSING KIT CENTRAL LINE"",""Revenue Code"":""272"",""Hospital Charge"":""27.35"",""Minimum Rate"":""8.07"",""Maximum Rate"":""8.07"",""Self-Pay Rate"":""8.07"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""ANGIO CUSTOM PACK W TRAY"",""Revenue Code"":""272"",""Hospital Charge"":""207.83"",""Minimum Rate"":""61.31"",""Maximum Rate"":""61.31"",""Self-Pay Rate"":""61.31"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE NG FEED FLXFLO 12FRx45IN"",""Revenue Code"":""272"",""Hospital Charge"":""20.31"",""Minimum Rate"":""5.99"",""Maximum Rate"":""5.99"",""Self-Pay Rate"":""5.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TRAY CATH PARA THORA 7CM"",""Revenue Code"":""272"",""Hospital Charge"":""91.25"",""Minimum Rate"":""26.92"",""Maximum Rate"":""26.92"",""Self-Pay Rate"":""26.92"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1884"",""DESC"":""*DEVICE SPIDERFX EMBOL PROT *P"",""Revenue Code"":""278"",""Hospital Charge"":""2250"",""Minimum Rate"":""663.75"",""Maximum Rate"":""663.75"",""Self-Pay Rate"":""663.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2628"",""DESC"":""CATH UTERIN TORC 5FRx.035x90CM"",""Revenue Code"":""272"",""Hospital Charge"":""40.63"",""Minimum Rate"":""11.99"",""Maximum Rate"":""11.99"",""Self-Pay Rate"":""11.99"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH MICRO HI-FLO 135x180x10"",""Revenue Code"":""272"",""Hospital Charge"":""1413.75"",""Minimum Rate"":""417.06"",""Maximum Rate"":""417.06"",""Self-Pay Rate"":""417.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 50ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQUE 350 75ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPQUE 350 100ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.67"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.20"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST GE OMNIPAQU 350 125ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.59"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.17"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 6MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 8MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1769"",""DESC"":""GLIDEWIRE ANGLED 0.018x150CM"",""Revenue Code"":""272"",""Hospital Charge"":""136"",""Minimum Rate"":""40.12"",""Maximum Rate"":""40.12"",""Self-Pay Rate"":""40.12"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""TUBE MIC TRANSGAST JEJUN 22FR"",""Revenue Code"":""278"",""Hospital Charge"":""564.68"",""Minimum Rate"":""166.58"",""Maximum Rate"":""166.58"",""Self-Pay Rate"":""166.58"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""PARTIC EMB EMBOSPHERE 900-1200"",""Revenue Code"":""278"",""Hospital Charge"":""685"",""Minimum Rate"":""202.08"",""Maximum Rate"":""202.08"",""Self-Pay Rate"":""202.08"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTNH DMND 9MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""450"",""Minimum Rate"":""132.75"",""Maximum Rate"":""132.75"",""Self-Pay Rate"":""132.75"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1725"",""DESC"":""CATH PTA UTHN DMND 7MMx4x75CM"",""Revenue Code"":""272"",""Hospital Charge"":""516.95"",""Minimum Rate"":""152.50"",""Maximum Rate"":""152.50"",""Self-Pay Rate"":""152.50"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""Unit" "dHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH LEV1 5F x .038 x 65CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH SOFT VU OMNI 5FR x 80CM"",""Revenue Code"":""272"",""Hospital Charge"":""45"",""Minimum Rate"":""13.28"",""Maximum Rate"":""13.28"",""Self-Pay Rate"":""13.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx15CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C2618"",""DESC"":""PROBE MICRO ABLATION 17Gx20CM"",""Revenue Code"":""272"",""Hospital Charge"":""4750"",""Minimum Rate"":""1,401.25"",""Maximum Rate"":""1,401.25"",""Self-Pay Rate"":""1,401.25"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5Fx7CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C1887"",""DESC"":""CATH GALT CENTEZE 5FRx10CM"",""Revenue Code"":""272"",""Hospital Charge"":""37.5"",""Minimum Rate"":""11.06"",""Maximum Rate"":""11.06"",""Self-Pay Rate"":""11.06"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""KIT CT STELLANT DUAL SYR W-TBG"",""Revenue Code"":""272"",""Hospital Charge"":""34.85"",""Minimum Rate"":""10.28"",""Maximum Rate"":""10.28"",""Self-Pay Rate"":""10.28"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST OPTIRAY-320 100ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.91"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.27"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""PROFESSIONAL SECOND READING"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W & W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71270"",""DESC"":""CT CHEST WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""412.80"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""412.80"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,450.18"",""ConnectiCare Exchange Rate"":""1,347.64"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70450"",""DESC"":""CT HEAD WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""146.75"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""146.75"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""645.94"",""ConnectiCare Exchange Rate"":""600.27"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70486"",""DESC"":""CT FACIAL-SINUS WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""194.94"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""194.94"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""854.92"",""ConnectiCare Exchange Rate"":""794.47"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70460"",""DESC"":""CT HEAD W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""210.76"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""210.76"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""946.68"",""ConnectiCare Exchange Rate"":""879.74"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70481"",""DESC"":""CT IAC-PIT-ORBITS W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""414.25"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.25"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,485.02"",""ConnectiCare Exchange Rate"":""1,380.02"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""55700"",""DESC"":""BX PROSTATE"",""Revenue Code"":""361"",""Hospital Charge"":""13469.39"",""Minimum Rate"":""1,950.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""5,253.06"",""Aetna Rate"":""6,226.90"",""Anthem HMO Rate"":""7,246.53"",""Anthem PPO Rate"":""7,734.12"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""1,950.00"",""ConnectiCare Exchange Rate"":""1,950.00"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""70480"",""DESC"":""CT IAC-PIT-ORBITS WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""984.68"",""ConnectiCare Exchange Rate"":""915.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CCH-ABD-PEL W & W-O CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""76376"",""DESC"":""CT 3D RENDER W-INTERP > PROC"",""Revenue Code"":""350"",""Hospital Charge"":""960.86"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""262.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""25.96"",""Anthem PPO Rate"":""638.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""121.14"",""ConnectiCare Exchange Rate"":""113.15"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CHT-ABD-PEL W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70491"",""DESC"":""CT SOFT TISSUE NECK W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""332.98"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""332.98"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,184.20"",""ConnectiCare Exchange Rate"":""1,100.47"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CHT-ABD-PEL W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70490"",""DESC"":""CT SOFT TISSUE NECK WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71260"",""DESC"":""CT CHEST W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""334.44"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""334.44"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,187.35"",""ConnectiCare Exchange Rate"":""1,103.40"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71250"",""DESC"":""CT CHEST WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""74160"",""DESC"":""CT ABDOMEN W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""334.44"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""334.44"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,599.01"",""ConnectiCare Exchange Rate"":""1,485.94"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""74150"",""DESC"":""CT ABDOMEN WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""180.55"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""180.55"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""794.70"",""ConnectiCare Exchange Rate"":""738.50"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72193"",""DESC"":""CT PELVIS W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,599.01"",""ConnectiCare Exchange Rate"":""1,485.94"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-NK-CHT-ABD-PEL W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72192"",""DESC"":""CT PELVIS W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""183.44"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""183.44"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""807.39"",""ConnectiCare Exchange Rate"":""750.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-NK-CHT-ABD-PEL W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73701"",""DESC"":""CT LOWER EXTREMITY W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73700"",""DESC"":""CT LOWER EXTREMITY WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""930.92"",""ConnectiCare Exchange Rate"":""865.09"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-NECK W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73201"",""DESC"":""CT UPPER EXTREMITY W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""329.40"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""329.40"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,462.87"",""ConnectiCare Exchange Rate"":""1,359.43"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-NECK W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73200"",""DESC"":""CT UPPER EXTREMITY WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""984.68"",""ConnectiCare Exchange Rate"":""915.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72126"",""DESC"":""CT CERVICAL SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""336.59"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""336.59"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,193.74"",""ConnectiCare Exchange Rate"":""1,109.33"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72125"",""DESC"":""CT CERVICAL SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""937.22"",""ConnectiCare Exchange Rate"":""870.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72129"",""DESC"":""CT THORACIC SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""337.31"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""337.31"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FACIAL SINUS W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72128"",""DESC"":""CT THORACIC SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""937.22"",""ConnectiCare Exchange Rate"":""870.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FACIAL SINUS W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72132"",""DESC"":""CT LUMBAR SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.16"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.16"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,196.89"",""ConnectiCare Exchange Rate"":""1,112.26"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FAC SINUS W & W-O CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72131"",""DESC"":""CT LUMBAR SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""930.92"",""ConnectiCare Exchange Rate"":""865.09"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES WO CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""76380"",""DESC"":""CT LIMITED LOCALIZED"",""Revenue Code"":""350"",""Hospital Charge"":""1790.86"",""Minimum Rate"":""119.43"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""488.90"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""119.43"",""Anthem PPO Rate"":""1,190.92"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""699.70"",""ConnectiCare Exchange Rate"":""650.23"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CT CONS OUTSIDE EXAM WRITTEN R"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES W&W-O"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77012"",""DESC"":""CT GUIDANCE for NEEDLE BIOPSY"",""Revenue Code"":""350"",""Hospital Charge"":""5224.81"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,474.50"",""Self-Pay Rate"":""1,426.37"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""134.53"",""Anthem PPO Rate"":""3,474.50"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""683.94"",""ConnectiCare Exchange Rate"":""635.58"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""74170"",""DESC"":""CT ABDOMEN WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""385.48"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""385.48"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-NECK W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72194"",""DESC"":""CT PELVIS WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""399.86"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""399.86"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-NECK W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70470"",""DESC"":""CT HEAD WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""256.06"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""256.06"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,133.51"",""ConnectiCare Exchange Rate"":""1,053.36"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCBA CHST-ABD-PEL W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70488"",""DESC"":""CT FACIAL-SINUS WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""283.38"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""283.38"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,244.35"",""ConnectiCare Exchange Rate"":""1,156.36"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70482"",""DESC"":""CT IAC-PIT-ORBITS WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""459.55"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""459.55"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72127"",""DESC"":""CT CERVICAL SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""414.97"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.97"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,481.87"",""ConnectiCare Exchange Rate"":""1,377.09"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72130"",""DESC"":""CT THORACIC SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""415.69"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""415.69"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,485.02"",""ConnectiCare Exchange Rate"":""1,380.02"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72133"",""DESC"":""CT LUMBAR SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""414.97"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.97"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,475.48"",""ConnectiCare Exchange Rate"":""1,371.15"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""77014"",""DESC"":""CT GUIDNC RADIATN FIELD PLCMT"",""Revenue Code"":""350"",""Hospital Charge"":""2281.87"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""622.95"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""147.48"",""Anthem PPO Rate"":""1,517.44"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""687.09"",""ConnectiCare Exchange Rate"":""638.51"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""77011"",""DESC"":""CT STEREO LOCAL GUIDANCE"",""Revenue Code"":""350"",""Hospital Charge"":""4883.09"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,247.25"",""Self-Pay Rate"":""1,333.08"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""317.90"",""Anthem PPO Rate"":""3,247.25"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,507.17"",""ConnectiCare Exchange Rate"":""1,400.60"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""32551"",""DESC"":""TUBE THORACOSTMY W&W-O H2O SEL"",""Revenue Code"":""361"",""Hospital Charge"":""2936.55"",""Minimum Rate"":""1,145.25"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,145.25"",""Aetna Rate"":""1,357.57"",""Anthem HMO Rate"":""1,579.86"",""Anthem PPO Rate"":""1,686.17"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,501.06"",""ConnectiCare Exchange Rate"":""2,360.40"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""49180"",""DESC"":""BX PERC ABDOM-RETROP MASS"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20225"",""DESC"":""BX BONE DEEP PERCUT"",""Revenue Code"":""361"",""Hospital Charge"":""19234.97"",""Minimum Rate"":""7,501.64"",""Maximum Rate"":""16,382.42"",""Self-Pay Rate"":""7,501.64"",""Aetna Rate"":""8,892.33"",""Anthem HMO Rate"":""10,348.41"",""Anthem PPO Rate"":""11,044.72"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""16,382.42"",""ConnectiCare Exchange Rate"":""15,461.07"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20220"",""DESC"":""BX BONE SUPERFICIAL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""8887.95"",""Minimum Rate"":""3,466.30"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,466.30"",""Aetna Rate"":""4,108.90"",""Anthem HMO Rate"":""4,781.72"",""Anthem PPO Rate"":""5,103.46"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,569.87"",""ConnectiCare Exchange Rate"":""7,144.13"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""47000"",""DESC"":""BX LIVER PERC NEDL"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""1,950.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,950.00"",""ConnectiCare Exchange Rate"":""1,950.00"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""50200"",""DESC"":""BX RENAL PERC NEDL"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32405"",""DESC"":""BX LUNG-MEDIASTINUM PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""G0297"",""DESC"":""CT LUNG SCREENING"",""Revenue Code"":""350"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""409.07"",""Maximum Rate"":""1,719.10"",""Self-Pay Rate"":""868.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""409.07"",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,719.10"",""ConnectiCare Exchange Rate"":""1,605.63"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70487"",""DESC"":""CT FACIAL-SINUS W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""223.69"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""223.69"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""981.52"",""ConnectiCare Exchange Rate"":""912.12"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70496"",""DESC"":""CT CTA HEAD WO-W W-POST IMG S+"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""415.76"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""415.76"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70498"",""DESC"":""CT CTA NECK WO-W W-POST IMG S+"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""412.87"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""412.87"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""71275"",""DESC"":""CTA CHEST WO-WC W-POST IMG"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""417.91"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72191"",""DESC"":""CT CTA PEL WO-WC W-POST IMG S+"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""428.69"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""428.69"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73206"",""DESC"":""CT CTA UPPER EXTREM W&W-O CONT"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""473.99"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""473.99"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""" ",598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73706"",""DESC"":""CT CTA LOW EXT W-O-WC W-POST I"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""514.99"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""3,424.30"",""Anthem HMO Rate"":""514.99"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""74175"",""DESC"":""CT CTA ABD WO-WC W-POST IMG S+"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""433.02"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""433.02"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75635"",""DESC"":""CT CTA AOLE WO-WC W-POST IMG S"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""521.53"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""521.53"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75989"",""DESC"":""CT GUIDNC DRAINAGE ABSCESS"",""Revenue Code"":""350"",""Hospital Charge"":""2110.32"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""576.12"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""124.47"",""Anthem PPO Rate"":""1,403.36"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""560.41"",""ConnectiCare Exchange Rate"":""520.78"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""50592"",""DESC"":""ABLAT 1-MORE RENAL TUMR UNIL"",""Revenue Code"":""361"",""Hospital Charge"":""56461.71"",""Minimum Rate"":""8,352.00"",""Maximum Rate"":""48,088.44"",""Self-Pay Rate"":""22,020.07"",""Aetna Rate"":""26,102.25"",""Anthem HMO Rate"":""30,376.40"",""Anthem PPO Rate"":""32,420.31"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""48,088.44"",""ConnectiCare Exchange Rate"":""45,383.92"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""20982"",""DESC"":""ABLAT BONE TUMR-SOF TIS W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""21171.17"",""Minimum Rate"":""8,256.76"",""Maximum Rate"":""18,031.49"",""Self-Pay Rate"":""8,256.76"",""Aetna Rate"":""9,787.43"",""Anthem HMO Rate"":""11,390.09"",""Anthem PPO Rate"":""12,156.49"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""18,031.49"",""ConnectiCare Exchange Rate"":""17,017.39"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""77013"",""DESC"":""CT GUID & MONITOR TISSUE ABLAT"",""Revenue Code"":""350"",""Hospital Charge"":""1488.07"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,049.89"",""Self-Pay Rate"":""406.24"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""734.91"",""Anthem PPO Rate"":""989.57"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""3,049.89"",""ConnectiCare Exchange Rate"":""2,834.24"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""47382"",""DESC"":""ABLATN LIVER TUMOR 1-MORE UNIL"",""Revenue Code"":""361"",""Hospital Charge"":""56461.71"",""Minimum Rate"":""9,007.00"",""Maximum Rate"":""48,088.44"",""Self-Pay Rate"":""22,020.07"",""Aetna Rate"":""26,102.25"",""Anthem HMO Rate"":""30,376.40"",""Anthem PPO Rate"":""32,420.31"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""48,088.44"",""ConnectiCare Exchange Rate"":""45,383.92"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX ABD RETROP-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX BONE DEEP- GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX BONE SUPERF-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX LIVER-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX RENAL-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX LUNG PERCUTAN-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP W-O & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP W & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP WO & W & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CT WHOLE BODY SCAN"",""Revenue Code"":""350"",""Hospital Charge"":""1172.19"",""Minimum Rate"":""320.01"",""Maximum Rate"":""320.01"",""Self-Pay Rate"":""320.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77078"",""DESC"":""CT BONE MIN DENS AX SKEL"",""Revenue Code"":""352"",""Hospital Charge"":""1182.33"",""Minimum Rate"":""119.43"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""348.79"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""119.43"",""Anthem PPO Rate"":""786.25"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""699.70"",""ConnectiCare Exchange Rate"":""650.23"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""32998"",""DESC"":""ABLATN PULM TUMOR 1 OR MORE"",""Revenue Code"":""361"",""Hospital Charge"":""27165"",""Minimum Rate"":""10,594.35"",""Maximum Rate"":""23,136.43"",""Self-Pay Rate"":""10,594.35"",""Aetna Rate"":""12,558.38"",""Anthem HMO Rate"":""14,614.77"",""Anthem PPO Rate"":""15,598.14"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""23,136.43"",""ConnectiCare Exchange Rate"":""21,835.23"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""77073"",""DESC"":""CT BONE LNGTH STDY (SCANOGRAM)"",""Revenue Code"":""350"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""144.48"",""ConnectiCare Commercial Rate"":""278.32"",""ConnectiCare Exchange Rate"":""259.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB TRAUMA CHARGES"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""C.T. CONSULTATION IMAGES"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB SFT TIS-CHST-ABD-PEL WCON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCBA CHEST & ABDOMEN WO&W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""32550"",""DESC"":""INSERTION PLEURAL CATH"",""Revenue Code"":""361"",""Hospital Charge"":""32196.9"",""Minimum Rate"":""12,459.00"",""Maximum Rate"":""27,422.10"",""Self-Pay Rate"":""12,556.79"",""Aetna Rate"":""14,884.63"",""Anthem HMO Rate"":""17,321.93"",""Anthem PPO Rate"":""18,487.46"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""27,422.10"",""ConnectiCare Exchange Rate"":""25,879.87"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""73702"",""DESC"":""CT LOWER EXTREM WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""427.19"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""427.19"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,532.47"",""ConnectiCare Exchange Rate"":""1,424.12"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""22899"",""DESC"":""SPINAL PROCEDURE CT - MISC"",""Revenue Code"":""361"",""Hospital Charge"":""11643.72"",""Minimum Rate"":""4,541.05"",""Maximum Rate"":""9,916.96"",""Self-Pay Rate"":""4,541.05"",""Aetna Rate"":""5,382.89"",""Anthem HMO Rate"":""6,264.32"",""Anthem PPO Rate"":""6,685.82"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""9,916.96"",""ConnectiCare Exchange Rate"":""9,359.22"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT W CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT WO&W"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB TRAUMA NO CONTRAST"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C9728"",""DESC"":""PLCMT FIDUCL SEED NON-PROSTATE"",""Revenue Code"":""361"",""Hospital Charge"":""14906.41"",""Minimum Rate"":""5,813.50"",""Maximum Rate"":""12,695.79"",""Self-Pay Rate"":""5,813.50"",""Aetna Rate"":""6,891.23"",""Anthem HMO Rate"":""8,019.65"",""Anthem PPO Rate"":""8,559.26"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""12,695.79"",""ConnectiCare Exchange Rate"":""11,981.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70492"",""DESC"":""CT SOFT TISSUE NECK W-O&W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""411.36"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""411.36"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,450.18"",""ConnectiCare Exchange Rate"":""1,347.64"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CERV SPINE-REC W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73202"",""DESC"":""CT UPPER EXTREMITY W-O & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""435.10"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""435.10"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""76377"",""DESC"":""CT 3D RECONSTRUCT W-INTRP"",""Revenue Code"":""350"",""Hospital Charge"":""1912.21"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""522.03"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""48.96"",""Anthem PPO Rate"":""1,271.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""294.63"",""ConnectiCare Exchange Rate"":""275.18"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB UROGRAM W-O & W CON"",""Revenue Code"":""305"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""38505"",""DESC"":""BX LYMPH NODE PERC"",""Revenue Code"":""361"",""Hospital Charge"":""8467.04"",""Minimum Rate"":""3,302.15"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""3,302.15"",""Aetna Rate"":""3,914.31"",""Anthem HMO Rate"":""4,555.27"",""Anthem PPO Rate"":""4,861.77"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,211.38"",""ConnectiCare Exchange Rate"":""6,805.81"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""62267"",""DESC"":""BX INTRAVERTEBRAL DISC PERC"",""Revenue Code"":""361"",""Hospital Charge"":""5055.83"",""Minimum Rate"":""1,971.77"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,971.77"",""Aetna Rate"":""2,337.31"",""Anthem HMO Rate"":""2,720.04"",""Anthem PPO Rate"":""2,903.06"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,306.05"",""ConnectiCare Exchange Rate"":""4,063.88"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""48102"",""DESC"":""BX PANCREAS NEDL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20206"",""DESC"":""BX MUSCLE NEDL"",""Revenue Code"":""361"",""Hospital Charge"":""8590.4"",""Minimum Rate"":""3,350.26"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""3,350.26"",""Aetna Rate"":""3,971.34"",""Anthem HMO Rate"":""4,621.64"",""Anthem PPO Rate"":""4,932.61"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,316.44"",""ConnectiCare Exchange Rate"":""6,904.96"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49423"",""DESC"":""EXCHANGE DRAINAGE CATHETER"",""Revenue Code"":""361"",""Hospital Charge"":""16830.57"",""Minimum Rate"":""6,563.92"",""Maximum Rate"":""14,334.60"",""Self-Pay Rate"":""6,563.92"",""Aetna Rate"":""7,780.77"",""Anthem HMO Rate"":""9,054.85"",""Anthem PPO Rate"":""9,664.11"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""14,334.60"",""ConnectiCare Exchange Rate"":""13,528.41"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""75984"",""DESC"":""CT GUID CHANGE TUB-DRAIN CATH"",""Revenue Code"":""320"",""Hospital Charge"":""2297.6"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,527.90"",""Self-Pay Rate"":""627.24"",""Aetna Rate"":""1,416.93"",""Anthem HMO Rate"":""143.16"",""Anthem PPO Rate"":""1,527.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""589.42"",""ConnectiCare Exchange Rate"":""550.51"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""20610"",""DESC"":""ARTHROCNTS ASPIR LRG JNT"",""Revenue Code"":""361"",""Hospital Charge"":""2809.61"",""Minimum Rate"":""1,095.75"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,095.75"",""Aetna Rate"":""1,298.88"",""Anthem HMO Rate"":""1,511.57"",""Anthem PPO Rate"":""1,613.28"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,392.94"",""ConnectiCare Exchange Rate"":""2,258.36"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""58999"",""DESC"":""GENITAL SURG PROC FEMALE"",""Revenue Code"":""361"",""Hospital Charge"":""633.79"",""Minimum Rate"":""247.18"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""247.18"",""Aetna Rate"":""293.00"",""Anthem HMO Rate"":""340.98"",""Anthem PPO Rate"":""363.92"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""539.80"",""ConnectiCare Exchange Rate"":""509.44"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""75571"",""DESC"":""*CTA HEART W QUN CON EVAL STRC"",""Revenue Code"":""350"",""Hospital Charge"":""149"",""Minimum Rate"":""40.68"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""40.68"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""59.04"",""Anthem PPO Rate"":""99.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""674.40"",""ConnectiCare Exchange Rate"":""626.71"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""75572"",""DESC"":""CTA HEART W CON EVAL STRUCT"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""396.35"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""396.35"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,440.64"",""ConnectiCare Exchange Rate"":""1,338.77"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75573"",""DESC"":""CTA HEART W CON CNGNTV DISEASE"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""435.17"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""435.17"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75574"",""DESC"":""CTA HEART W CON COR ART-GFT"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""434.38"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""434.38"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""32553"",""DESC"":""FID SEED PLCMNT CHST SING-MULT"",""Revenue Code"":""361"",""Hospital Charge"":""15123.63"",""Minimum Rate"":""5,898.22"",""Maximum Rate"":""12,880.80"",""Self-Pay Rate"":""5,898.22"",""Aetna Rate"":""6,991.65"",""Anthem HMO Rate"":""8,136.51"",""Anthem PPO Rate"":""8,683.99"",""CIGNA Rate"":""12,117.00"",""ConnectiCare Commercial Rate"":""12,880.80"",""ConnectiCare Exchange Rate"":""12,156.37"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49411"",""DESC"":""FID SEED PLC ABD-PLV SING-MULT"",""Revenue Code"":""361"",""Hospital Charge"":""14906.41"",""Minimum Rate"":""5,813.50"",""Maximum Rate"":""12,695.79"",""Self-Pay Rate"":""5,813.50"",""Aetna Rate"":""6,891.23"",""Anthem HMO Rate"":""8,019.65"",""Anthem PPO Rate"":""8,559.26"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""12,695.79"",""ConnectiCare Exchange Rate"":""11,981.77"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32561"",""DESC"":""INSTL TUB-CATH FIBRIN INIT DAY"",""Revenue Code"":""361"",""Hospital Charge"":""6103.37"",""Minimum Rate"":""2,380.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,380.31"",""Aetna Rate"":""2,821.59"",""Anthem HMO Rate"":""3,283.61"",""Anthem PPO Rate"":""3,504.56"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,198.24"",""ConnectiCare Exchange Rate"":""4,905.89"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32562"",""DESC"":""INSTIL TUB-CATH FIB SUBSQN DAY"",""Revenue Code"":""361"",""Hospital Charge"":""6103.37"",""Minimum Rate"":""2,380.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,380.31"",""Aetna Rate"":""2,821.59"",""Anthem HMO Rate"":""3,283.61"",""Anthem PPO Rate"":""3,504.56"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,198.24"",""ConnectiCare Exchange Rate"":""4,905.89"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""42999"",""DESC"":""PHARYNX PROCED UNLISTED"",""Revenue Code"":""361"",""Hospital Charge"":""1266.74"",""Minimum Rate"":""494.03"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""494.03"",""Aetna Rate"":""585.61"",""Anthem HMO Rate"":""681.51"",""Anthem PPO Rate"":""727.36"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,078.88"",""ConnectiCare Exchange Rate"":""1,018.21"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""49440"",""DESC"":""PLACMNT GASTROS-TUBE PERC"",""Revenue Code"":""361"",""Hospital Charge"":""4625.94"",""Minimum Rate"":""1,804.12"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""1,804.12"",""Aetna Rate"":""2,138.57"",""Anthem HMO Rate"":""2,488.76"",""Anthem PPO Rate"":""2,656.21"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,939.91"",""ConnectiCare Exchange Rate"":""3,718.33"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""21550"",""DESC"":""BX SOFT TISSUE NECK-CHEST"",""Revenue Code"":""361"",""Hospital Charge"":""22294.49"",""Minimum Rate"":""8,352.00"",""Maximum Rate"":""18,988.22"",""Self-Pay Rate"":""8,694.85"",""Aetna Rate"":""10,306.74"",""Anthem HMO Rate"":""11,994.44"",""Anthem PPO Rate"":""12,801.50"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""18,988.22"",""ConnectiCare Exchange Rate"":""17,920.31"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""0200T"",""DESC"":""SACROPLASTY UNILAT INJ PERC"",""Revenue Code"":""361"",""Hospital Charge"":""28050.44"",""Minimum Rate"":""10,939.67"",""Maximum Rate"":""23,890.56"",""Self-Pay Rate"":""10,939.67"",""Aetna Rate"":""12,967.72"",""Anthem HMO Rate"":""15,091.14"",""Anthem PPO Rate"":""16,106.56"",""CIGNA Rate"":""13,428.00"",""ConnectiCare Commercial Rate"":""23,890.56"",""ConnectiCare Exchange Rate"":""22,546.94"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""0201T"",""DESC"":""SACROPLASTY BILAT W GUIDNC"",""Revenue Code"":""361"",""Hospital Charge"":""39913.37"",""Minimum Rate"":""12,459.00"",""Maximum Rate"":""33,994.22"",""Self-Pay Rate"":""15,566.21"",""Aetna Rate"":""18,451.95"",""Anthem HMO Rate"":""21,473.39"",""Anthem PPO Rate"":""22,918.26"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""33,994.22"",""ConnectiCare Exchange Rate"":""32,082.37"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""74176"",""DESC"":""CT ABD & PELVIS W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""6863.47"",""Minimum Rate"":""225.13"",""Maximum Rate"":""4,564.21"",""Self-Pay Rate"":""2,024.72"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""225.13"",""Anthem PPO Rate"":""4,564.21"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,000.52"",""ConnectiCare Exchange Rate"":""929.78"",""UnitedHealthcare\/Oxford Rate"":""806.96""},{""CPT-4"":""74177"",""DESC"":""CT ABD & PELVIS W CON"",""Revenue Code"":""352"",""Hospital Charge"":""10251.73"",""Minimum Rate"":""440.86"",""Maximum Rate"":""6,817.40"",""Self-Pay Rate"":""3,024.26"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""440.86"",""Anthem PPO Rate"":""6,817.40"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,096.12"",""ConnectiCare Exchange Rate"":""1,947.90"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""74178"",""DESC"":""CT ABD & PELVIS W-O & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""10251.73"",""Minimum Rate"":""504.85"",""Maximum Rate"":""6,817.40"",""Self-Pay Rate"":""3,024.26"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""504.85"",""Anthem PPO Rate"":""6,817.40"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,377.94"",""ConnectiCare Exchange Rate"":""2,209.80"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""DR. HOLLANDER"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""38221"",""DESC"":""BX BONE MARROW NEDL"",""Revenue Code"":""361"",""Hospital Charge"":""4916.87"",""Minimum Rate"":""1,917.58"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,917.58"",""Aetna Rate"":""2,273.07"",""Anthem HMO Rate"":""2,645.28"",""Anthem PPO Rate"":""2,823.27"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,187.70"",""ConnectiCare Exchange Rate"":""3,952.18"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""74174"",""DESC"":""CTA ABD & PEL W-O & W CONTRAST"",""Revenue Code"":""352"",""Hospital Charge"":""9051.88"",""Minimum Rate"":""558.85"",""Maximum Rate"":""6,019.50"",""Self-Pay Rate"":""2,670.30"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""558.85"",""Anthem PPO Rate"":""6,019.50"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,627.99"",""ConnectiCare Exchange Rate"":""2,442.17"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""49083"",""DESC"":""PARACENTESIS W IMAGING"",""Revenue Code"":""361"",""Hospital Charge"":""6005.91"",""Minimum Rate"":""2,342.30"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""2,342.30"",""Aetna Rate"":""2,776.53"",""Anthem HMO Rate"":""3,231.18"",""Anthem PPO Rate"":""3,448.59"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,115.23"",""ConnectiCare Exchange Rate"":""4,827.55"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""42400"",""DESC"":""BX SALIVARY GLAND"",""Revenue Code"":""361"",""Hospital Charge"":""8467.04"",""Minimum Rate"":""3,302.15"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,302.15"",""Aetna Rate"":""3,914.31"",""Anthem HMO Rate"":""4,555.27"",""Anthem PPO Rate"":""4,861.77"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,211.38"",""ConnectiCare Exchange Rate"":""6,805.81"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64530"",""DESC"":""INJECT CELIAC PLEXUS NRV BLOCK"",""Revenue Code"":""361"",""Hospital Charge"":""9542.76"",""Minimum Rate"":""3,721.68"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,721.68"",""Aetna Rate"":""4,411.62"",""Anthem HMO Rate"":""5,134.00"",""Anthem PPO Rate"":""5,479.45"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""8,127.57"",""ConnectiCare Exchange Rate"":""7,670.47"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""10140"",""DESC"":""I&D HEMAT-SEROMA-FLUID COL"",""Revenue Code"":""361"",""Hospital Charge"":""6675.55"",""Minimum Rate"":""818.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""2,603.46"",""Aetna Rate"":""3,086.11"",""Anthem HMO Rate"":""3,591.45"",""Anthem PPO Rate"":""3,833.10"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""5,685.57"",""ConnectiCare Exchange Rate"":""5,365.81"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32555"",""DESC"":""ASPIRATE PLEURA THORACENTESIS"",""Revenue Code"":""361"",""Hospital Charge"":""6004.23"",""Minimum Rate"":""2,341.65"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,341.65"",""Aetna Rate"":""2,775.76"",""Anthem HMO Rate"":""3,230.28"",""Anthem PPO Rate"":""3,447.63"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,113.80"",""ConnectiCare Exchange Rate"":""4,826.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32557"",""DESC"":""INSRT PLEURAL DRNGE CATH PERC"",""Revenue Code"":""361"",""Hospital Charge"":""6004.23"",""Minimum Rate"":""2,341.65"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,341.65"",""Aetna Rate"":""2,775.76"",""Anthem HMO Rate"":""3,230.28"",""Anthem PPO Rate"":""3,447.63"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,113.80"",""ConnectiCare Exchange Rate"":""4,826.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64680"",""DESC"":""INJ RX OF CELIAC NERVE W GUIDC"",""Revenue Code"":""361"",""Hospital Charge"":""15795.36"",""Minimum Rate"":""6,160.19"",""Maximum Rate"":""13,452.91"",""Self-Pay Rate"":""6,160.19"",""Aetna Rate"":""7,302.19"",""Anthem HMO Rate"":""8,497.90"",""Anthem PPO Rate"":""9,069.70"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""13,452.91"",""ConnectiCare Exchange Rate"":""12,696.31"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32400"",""DESC"":""BX PLEURA PERC NEEDLE"",""Revenue Code"":""361"",""Hospital Charge"":""5112.6"",""Minimum Rate"":""1,993.91"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""1,993.91"",""Aetna Rate"":""2,363.55"",""Anthem HMO Rate"":""2,750.58"",""Anthem PPO Rate"":""2,935.65"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,354.40"",""ConnectiCare Exchange Rate"":""4,109.51"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""64640"",""DESC"":""ABLATION PERIPH NERVE or BRNCH"",""Revenue Code"":""361"",""Hospital Charge"":""4576.49"",""Minimum Rate"":""1,784.83"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,784.83"",""Aetna Rate"":""2,115.71"",""Anthem HMO Rate"":""2,462.15"",""Anthem PPO Rate"":""2,627.82"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,897.80"",""ConnectiCare Exchange Rate"":""3,678.58"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64999"",""DESC"":""NERVOUS SYSTEM UNLISTED PROC"",""Revenue Code"":""361"",""Hospital Charge"":""1586.27"",""Minimum Rate"":""618.65"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""618.65"",""Aetna Rate"":""733.33"",""Anthem HMO Rate"":""853.41"",""Anthem PPO Rate"":""910.84"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,351.03"",""ConnectiCare Exchange Rate"":""1,275.04"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""CT HEAD W-O STROKE ALERT"",""Revenue Code"":""351"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""C.T. IMAGE STORAGE"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FAC-C-SPINE W-O CON"",""Revenue Code"":""351"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10160"",""DESC"":""ASPIRATE PUNC ABSCESS HEMATOMA"",""Revenue Code"":""361"",""Hospital Charge"":""4745.9"",""Minimum Rate"":""818.00"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,850.90"",""Aetna Rate"":""2,194.03"",""Anthem HMO Rate"":""2,553.29"",""Anthem PPO Rate"":""2,725.10"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""4,042.08"",""ConnectiCare Exchange Rate"":""3,814.75"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""27041"",""DESC"":""BX SOFT TISSUE PELVIC-HIP AREA"",""Revenue Code"":""361"",""Hospital Charge"":""9650.9"",""Minimum Rate"":""3,763.85"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""3,763.85"",""Aetna Rate"":""4,461.61"",""Anthem HMO Rate"":""5,192.18"",""Anthem PPO Rate"":""5,541.55"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""8,219.67"",""ConnectiCare Exchange Rate"":""7,757.39"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""11200"",""DESC"":""REMOVAL SKIN TAG UP TO 15 TAGS"",""Revenue Code"":""361"",""Hospital Charge"":""1085.21"",""Minimum Rate"":""423.23"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""423.23"",""Aetna Rate"":""501.69"",""Anthem HMO Rate"":""583.84"",""Anthem PPO Rate"":""623.13"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""924.27"",""ConnectiCare Exchange Rate"":""872.29"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""58805"",""DESC"":""DRAING OVARIAN CYST ABDOMINAL"",""Revenue Code"":""361"",""Hospital Charge"":""18652.31"",""Minimum Rate"":""7,274.40"",""Maximum Rate"":""15,886.17"",""Self-Pay Rate"":""7,274.40"",""Aetna Rate"":""8,622.96"",""Anthem HMO Rate"":""10,034.94"",""Anthem PPO Rate"":""10,710.16"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""15,886.17"",""ConnectiCare Exchange Rate"":""14,992.73"",""UnitedHealthcare\/Oxford R" "te"":""10,679.00""},{""CPT-4"":""49405"",""DESC"":""DRAIN ABSCES KID - LIVR - LUNG"",""Revenue Code"":""361"",""Hospital Charge"":""20313.21"",""Minimum Rate"":""7,922.15"",""Maximum Rate"":""17,300.76"",""Self-Pay Rate"":""7,922.15"",""Aetna Rate"":""9,390.80"",""Anthem HMO Rate"":""10,928.51"",""Anthem PPO Rate"":""11,663.85"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""17,300.76"",""ConnectiCare Exchange Rate"":""16,327.76"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49406"",""DESC"":""DRAIN ABSCES PERIT-RETRO PERC"",""Revenue Code"":""361"",""Hospital Charge"":""20313.21"",""Minimum Rate"":""7,922.15"",""Maximum Rate"":""17,300.76"",""Self-Pay Rate"":""7,922.15"",""Aetna Rate"":""9,390.80"",""Anthem HMO Rate"":""10,928.51"",""Anthem PPO Rate"":""11,663.85"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""17,300.76"",""ConnectiCare Exchange Rate"":""16,327.76"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49407"",""DESC"":""DRAIN ABSCS PERIT-RETR TRANSVG"",""Revenue Code"":""361"",""Hospital Charge"":""12583.34"",""Minimum Rate"":""4,907.50"",""Maximum Rate"":""10,717.23"",""Self-Pay Rate"":""4,907.50"",""Aetna Rate"":""5,817.28"",""Anthem HMO Rate"":""6,769.84"",""Anthem PPO Rate"":""7,225.35"",""CIGNA Rate"":""10,479.00"",""ConnectiCare Commercial Rate"":""10,717.23"",""ConnectiCare Exchange Rate"":""10,114.49"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""10030"",""DESC"":""DRAIN ABSCS EXT-ABD WALL-NECK"",""Revenue Code"":""361"",""Hospital Charge"":""2651.38"",""Minimum Rate"":""818.00"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,034.04"",""Aetna Rate"":""1,225.73"",""Anthem HMO Rate"":""1,426.44"",""Anthem PPO Rate"":""1,522.42"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""2,258.18"",""ConnectiCare Exchange Rate"":""2,131.18"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64493"",""DESC"":""PRVTEB FCET LUM-SAC 1ST LEVEL"",""Revenue Code"":""350"",""Hospital Charge"":""3808.23"",""Minimum Rate"":""1,039.65"",""Maximum Rate"":""1,039.65"",""Self-Pay Rate"":""1,039.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""64425"",""DESC"":""INJ NRV BLOCK ILIO-INGUIN HYPO"",""Revenue Code"":""361"",""Hospital Charge"":""1968.67"",""Minimum Rate"":""767.78"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""767.78"",""Aetna Rate"":""910.12"",""Anthem HMO Rate"":""1,059.14"",""Anthem PPO Rate"":""1,130.41"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,676.72"",""ConnectiCare Exchange Rate"":""1,582.42"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""11900"",""DESC"":""INJ SCLEROSING > 7 LESIONS"",""Revenue Code"":""361"",""Hospital Charge"":""1390.38"",""Minimum Rate"":""542.25"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""542.25"",""Aetna Rate"":""642.77"",""Anthem HMO Rate"":""748.02"",""Anthem PPO Rate"":""798.36"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""1,184.19"",""ConnectiCare Exchange Rate"":""1,117.59"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""71250"",""DESC"":""CT CHEST F-U LUNG SCREENING"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""60699"",""DESC"":""INVASIVE ENDOCRINE PROCED"",""Revenue Code"":""361"",""Hospital Charge"":""12245.29"",""Minimum Rate"":""4,775.66"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""4,775.66"",""Aetna Rate"":""5,661.00"",""Anthem HMO Rate"":""6,587.97"",""Anthem PPO Rate"":""7,031.25"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""10,429.31"",""ConnectiCare Exchange Rate"":""9,842.76"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""21920"",""DESC"":""BX BACK SOFT TISSUE"",""Revenue Code"":""361"",""Hospital Charge"":""4338.39"",""Minimum Rate"":""1,691.97"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,691.97"",""Aetna Rate"":""2,005.64"",""Anthem HMO Rate"":""2,334.05"",""Anthem PPO Rate"":""2,491.10"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,695.01"",""ConnectiCare Exchange Rate"":""3,487.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""27323"",""DESC"":""BX THIGH SOFT TISSUE"",""Revenue Code"":""361"",""Hospital Charge"":""1013.61"",""Minimum Rate"":""395.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""395.31"",""Aetna Rate"":""468.59"",""Anthem HMO Rate"":""545.32"",""Anthem PPO Rate"":""582.01"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""863.29"",""ConnectiCare Exchange Rate"":""814.74"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""20983"",""DESC"":""CRYOABLT BONE TUMR W SFT TISS"",""Revenue Code"":""361"",""Hospital Charge"":""14890.95"",""Minimum Rate"":""5,807.47"",""Maximum Rate"":""12,682.62"",""Self-Pay Rate"":""5,807.47"",""Aetna Rate"":""6,884.09"",""Anthem HMO Rate"":""8,011.33"",""Anthem PPO Rate"":""8,550.38"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""12,682.62"",""ConnectiCare Exchange Rate"":""11,969.35"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""22510"",""DESC"":""VERTPLSTY CERV-THOR W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""10297.13"",""Minimum Rate"":""4,015.88"",""Maximum Rate"":""15,556.00"",""Self-Pay Rate"":""4,015.88"",""Aetna Rate"":""4,760.36"",""Anthem HMO Rate"":""5,539.86"",""Anthem PPO Rate"":""5,912.61"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""8,770.07"",""ConnectiCare Exchange Rate"":""8,276.83"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""22511"",""DESC"":""VERTPLSTY LUNG-SAC W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""10297.13"",""Minimum Rate"":""4,015.88"",""Maximum Rate"":""15,556.00"",""Self-Pay Rate"":""4,015.88"",""Aetna Rate"":""4,760.36"",""Anthem HMO Rate"":""5,539.86"",""Anthem PPO Rate"":""5,912.61"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""8,770.07"",""ConnectiCare Exchange Rate"":""8,276.83"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""22512"",""DESC"":""VERTPLSTY C-T & L-S GUID EA AD"",""Revenue Code"":""361"",""Hospital Charge"":""10297.13"",""Minimum Rate"":""4,015.88"",""Maximum Rate"":""15,556.00"",""Self-Pay Rate"":""4,015.88"",""Aetna Rate"":""4,760.36"",""Anthem HMO Rate"":""5,539.86"",""Anthem PPO Rate"":""5,912.61"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""8,770.07"",""ConnectiCare Exchange Rate"":""8,276.83"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""22513"",""DESC"":""VERTPLSTY AUG-KYPH W THR GUID"",""Revenue Code"":""361"",""Hospital Charge"":""25020.54"",""Minimum Rate"":""9,007.00"",""Maximum Rate"":""21,309.99"",""Self-Pay Rate"":""9,758.01"",""Aetna Rate"":""11,567.00"",""Anthem HMO Rate"":""13,461.05"",""Anthem PPO Rate"":""14,366.79"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""21,309.99"",""ConnectiCare Exchange Rate"":""20,111.51"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""22514"",""DESC"":""VERTPLSTY AUG-KYPH W LUM GUID"",""Revenue Code"":""361"",""Hospital Charge"":""25020.54"",""Minimum Rate"":""9,007.00"",""Maximum Rate"":""21,309.99"",""Self-Pay Rate"":""9,758.01"",""Aetna Rate"":""11,567.00"",""Anthem HMO Rate"":""13,461.05"",""Anthem PPO Rate"":""14,366.79"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""21,309.99"",""ConnectiCare Exchange Rate"":""20,111.51"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""22515"",""DESC"":""VERTPLSTY A-K & L-T GUID EA AD"",""Revenue Code"":""361"",""Hospital Charge"":""25020.54"",""Minimum Rate"":""4,747.00"",""Maximum Rate"":""21,309.99"",""Self-Pay Rate"":""9,758.01"",""Aetna Rate"":""11,567.00"",""Anthem HMO Rate"":""13,461.05"",""Anthem PPO Rate"":""14,366.79"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""21,309.99"",""ConnectiCare Exchange Rate"":""20,111.51"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""32994"",""DESC"":""CRYOABL LUNG-PLUR TUMR W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""16208.25"",""Minimum Rate"":""6,321.22"",""Maximum Rate"":""13,804.57"",""Self-Pay Rate"":""6,321.22"",""Aetna Rate"":""7,493.07"",""Anthem HMO Rate"":""8,720.04"",""Anthem PPO Rate"":""9,306.78"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""13,804.57"",""ConnectiCare Exchange Rate"":""13,028.19"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""64450"",""DESC"":""NRV BLOCK PERIPHERAL OTHER"",""Revenue Code"":""361"",""Hospital Charge"":""1968.67"",""Minimum Rate"":""767.78"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""767.78"",""Aetna Rate"":""910.12"",""Anthem HMO Rate"":""1,059.14"",""Anthem PPO Rate"":""1,130.41"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,676.72"",""ConnectiCare Exchange Rate"":""1,582.42"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""96365"",""DESC"":""IV THERAPY UP>1 HOUR (INIT)"",""Revenue Code"":""260"",""Hospital Charge"":""933.32"",""Minimum Rate"":""275.33"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""275.33"",""Aetna Rate"":""559.81"",""Anthem HMO Rate"":""632.32"",""Anthem PPO Rate"":""632.32"",""CIGNA Rate"":""611.93"",""ConnectiCare Commercial Rate"":""794.91"",""ConnectiCare Exchange Rate"":""750.20"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""96366"",""DESC"":""IV THERAPY EA ADD HOUR"",""Revenue Code"":""260"",""Hospital Charge"":""466.33"",""Minimum Rate"":""118.40"",""Maximum Rate"":""1,009.00"",""Self-Pay Rate"":""137.57"",""Aetna Rate"":""279.70"",""Anthem HMO Rate"":""315.94"",""Anthem PPO Rate"":""315.94"",""CIGNA Rate"":""118.40"",""ConnectiCare Commercial Rate"":""397.17"",""ConnectiCare Exchange Rate"":""374.84"",""UnitedHealthcare\/Oxford Rate"":""1,009.00""},{""CPT-4"":""70450"",""DESC"":""CT HEAD WO STROKE ALERT"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""146.75"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""146.75"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""645.94"",""ConnectiCare Exchange Rate"":""600.27"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70496"",""DESC"":""CT CTA HEAD STROKE ALERT"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""415.76"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""415.76"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70498"",""DESC"":""CT CTA NECK STROKE ALERT"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""412.87"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""412.87"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""60300"",""DESC"":""ASPIRATION-INJECT THYROID"",""Revenue Code"":""361"",""Hospital Charge"":""7713.76"",""Minimum Rate"":""818.00"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""3,008.37"",""Aetna Rate"":""3,566.07"",""Anthem HMO Rate"":""4,150.00"",""Anthem PPO Rate"":""4,429.24"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""6,569.81"",""ConnectiCare Exchange Rate"":""6,200.32"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""50432"",""DESC"":""PLACMENT NEPHROS CATH PERC"",""Revenue Code"":""361"",""Hospital Charge"":""18725.91"",""Minimum Rate"":""7,303.10"",""Maximum Rate"":""15,948.86"",""Self-Pay Rate"":""7,303.10"",""Aetna Rate"":""8,656.99"",""Anthem HMO Rate"":""10,074.54"",""Anthem PPO Rate"":""10,752.42"",""CIGNA Rate"":""13,428.00"",""ConnectiCare Commercial Rate"":""15,948.86"",""ConnectiCare Exchange Rate"":""15,051.89"",""UnitedHealthcare\/Oxford Rate"":""10,679.00""},{""CPT-4"":""71275"",""DESC"":""CTA CHEST PULMONARY EMBOLISM"",""Revenue Code"":""350"",""Hospital Charge"":""4170.85"",""Minimum Rate"":""417.91"",""Maximum Rate"":""2,773.62"",""Self-Pay Rate"":""1,138.64"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""2,773.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""71275"",""DESC"":""CTA CHEST THORACIC AORTA"",""Revenue Code"":""350"",""Hospital Charge"":""4170.85"",""Minimum Rate"":""417.91"",""Maximum Rate"":""2,773.62"",""Self-Pay Rate"":""1,138.64"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""2,773.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""71275"",""DESC"":""CTA ASCENDING AORTA ECG GATED"",""Revenue Code"":""350"",""Hospital Charge"":""4170.85"",""Minimum Rate"":""417.91"",""Maximum Rate"":""2,773.62"",""Self-Pay Rate"":""1,138.64"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""2,773.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75572"",""DESC"":""CTA CORONARY - TAVR"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""396.35"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""396.35"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,440.64"",""ConnectiCare Exchange Rate"":""1,338.77"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75572"",""DESC"":""CTA PULMONARY VEIN MAPPING"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""396.35"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""396.35"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,440.64"",""ConnectiCare Exchange Rate"":""1,338.77"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""38220"",""DESC"":""ASPIRATION BONE MARROW"",""Revenue Code"":""361"",""Hospital Charge"":""1833.96"",""Minimum Rate"":""715.24"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""715.24"",""Aetna Rate"":""847.84"",""Anthem HMO Rate"":""986.67"",""Anthem PPO Rate"":""1,053.06"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,561.98"",""ConnectiCare Exchange Rate"":""1,474.14"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64479"",""DESC"":""INJT ANES TRANS EPI-CER W-GUID"",""Revenue Code"":""361"",""Hospital Charge"":""3808.23"",""Minimum Rate"":""1,485.21"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,485.21"",""Aetna Rate"":""1,760.54"",""Anthem HMO Rate"":""2,048.83"",""Anthem PPO Rate"":""2,186.69"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,243.47"",""ConnectiCare Exchange Rate"":""3,061.06"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""99152"",""DESC"":""MOD SEDATION INIT 15MIN > 5Y"",""Revenue Code"":""371"",""Hospital Charge"":""1073.53"",""Minimum Rate"":""418.68"",""Maximum Rate"":""914.33"",""Self-Pay Rate"":""418.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""914.33"",""ConnectiCare Exchange Rate"":""862.90"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99152"",""DESC"":""MOD SEDATION INIT 15MIN > 5Y"",""Revenue Code"":""371"",""Hospital Charge"":""1073.53"",""Minimum Rate"":""418.68"",""Maximum Rate"":""914.33"",""Self-Pay Rate"":""418.68"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""914.33"",""ConnectiCare Exchange Rate"":""862.90"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""99153"",""DESC"":""MOD SEDATION EA ADD 15MIN"",""Revenue Code"":""371"",""Hospital Charge"":""330.5"",""Minimum Rate"":""128.90"",""Maximum Rate"":""281.49"",""Self-Pay Rate"":""128.90"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""281.49"",""ConnectiCare Exchange Rate"":""265.66"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""0042T"",""DESC"":""CT BRAIN PERFUSION W-IV CON"",""Revenue Code"":""350"",""Hospital Charge"":""1952.07"",""Minimum Rate"":"" - "",""Maximum Rate"":""532.92"",""Self-Pay Rate"":""532.92"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""73701"",""DESC"":""CT ARTHROGRAM HIP"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73701"",""DESC"":""CT ARTHROGRAM KNEE"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73201"",""DESC"":""CT ARTHROGRAM SHOULDER"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""329.40"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""329.40"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,462.87"",""ConnectiCare Exchange Rate"":""1,359.43"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""73201"",""DESC"":""CT ARTHROGRAM WRIST"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""329.40"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""329.40"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,462.87"",""ConnectiCare Exchange Rate"":""1,359.43"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""72126"",""DESC"":""CT MYELOGRAM CERVICAL SPINE"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""336.59"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""336.59"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,193.74"",""ConnectiCare Exchange Rate"":""1,109.33"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""72129"",""DESC"":""CT MYELOGRAM THORACIC SPINE"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""337.31"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""337.31"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72132"",""DESC"":""CT MYELOGRAM LUMBAR SPINE"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.16"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.16"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,196.89"",""ConnectiCare Exchange Rate"":""1,112.26"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""71275"",""DESC"":""CTA THORACIC OUTLET W IV CON"",""Revenue Code"":""350"",""Hospital Charge"":""4170.85"",""Minimum Rate"":""417.91"",""Maximum Rate"":""2,773.62"",""Self-Pay Rate"":""1,138.64"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""2,773.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""32994"",""DESC"":""ABLATION RX FOR PULM TUMOR"",""Revenue Code"":""361"",""Hospital Charge"":""15439.1"",""Minimum Rate"":""6,021.25"",""Maximum Rate"":""13,149.48"",""Self-Pay Rate"":""6,021.25"",""Aetna Rate"":""7,137.50"",""Anthem HMO Rate"":""8,306.24"",""Anthem PPO Rate"":""8,865.13"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""13,149.48"",""ConnectiCare Exchange Rate"":""12,409.95"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""38222"",""DESC"":""DX BX & ASPIRATN BONE MARROW"",""Revenue Code"":""361"",""Hospital Charge"":""1545.55"",""Minimum Rate"":""602.76"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""602.76"",""Aetna Rate"":""714.51"",""Anthem HMO Rate"":""831.51"",""Anthem PPO Rate"":""887.45"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,316.34"",""ConnectiCare Exchange Rate"":""1,242.31"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""76497"",""DESC"":""CT SCAN UNLISTED"",""Revenue Code"":""350"",""Hospital Charge"":""246.29"",""Minimum Rate"":""67.24"",""Maximum Rate"":""702.53"",""Self-Pay Rate"":""67.24"",""Aetna Rate"":""151.89"",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":""163.78"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""702.53"",""ConnectiCare Exchange Rate"":""647.23"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""73201"",""DESC"":""CT ARTHROGRAM ELBOW"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""329.40"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""329.40"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,462.87"",""ConnectiCare Exchange Rate"":""1,359.43"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""10009"",""DESC"":""FNA - BX BY CT GUID 1ST LESION"",""Revenue Code"":""361"",""Hospital Charge"":""4519.9"",""Minimum Rate"":""1,762.76"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,762.76"",""Aetna Rate"":""2,089.55"",""Anthem HMO Rate"":""2,431.71"",""Anthem PPO Rate"":""2,595.33"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,849.60"",""ConnectiCare Exchange Rate"":""3,633.10"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""10010"",""DESC"":""FNA - BX BY CT GUID ADD LESION"",""Revenue Code"":""361"",""Hospital Charge"":""4519.9"",""Minimum Rate"":""1,762.76"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""1,762.76"",""Aetna Rate"":""2,089.55"",""Anthem HMO Rate"":""2,431.71"",""Anthem PPO Rate"":""2,595.33"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""3,849.60"",""ConnectiCare Exchange Rate"":""3,633.10"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""70492"",""DESC"":""CT 4D PARATHYROID WO-W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""411.36"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""411.36"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,450.18"",""ConnectiCare Exchange Rate"":""1,347.64"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""62270"",""DESC"":""LUMBAR-SPINAL PUNCTURE DIAG"",""Revenue Code"":""350"",""Hospital Charge"":""3840.92"",""Minimum Rate"":""1,048.57"",""Maximum Rate"":""1,048.57"",""Self-Pay Rate"":""1,048.57"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB MAKO HIP BILATERAL"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB MAKO KNEE BILATERAL"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""62323"",""DESC"":""INJ DX-RX EPIDR-LUMB W IMAGE"",""Revenue Code"":""361"",""Hospital Charge"":""3066.01"",""Minimum Rate"":""1,195.74"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,195.74"",""Aetna Rate"":""1,417.42"",""Anthem HMO Rate"":""1,649.51"",""Anthem PPO Rate"":""1,760.50"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,611.32"",""ConnectiCare Exchange Rate"":""2,464.46"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""62321"",""DESC"":""INJCT DX THER SUBSTNCE W IMAGE"",""Revenue Code"":""361"",""Hospital Charge"":""1813.67"",""Minimum Rate"":""707.33"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""707.33"",""Aetna Rate"":""838.46"",""Anthem HMO Rate"":""975.75"",""Anthem PPO Rate"":""1,041.41"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,544.70"",""ConnectiCare Exchange Rate"":""1,457.83"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""10035"",""DESC"":""PLCMT SOFT TIS DEV 1ST LVLPERC"",""Revenue Code"":""361"",""Hospital Charge"":""1974.72"",""Minimum Rate"":""770.14"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""770.14"",""Aetna Rate"":""912.91"",""Anthem HMO Rate"":""1,062.40"",""Anthem PPO Rate"":""1,133.88"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""1,681.87"",""ConnectiCare Exchange Rate"":""1,587.28"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64490"",""DESC"":""PRVTEB FCET CRV-THR 1ST LVL"",""Revenue Code"":""361"",""Hospital Charge"":""3808.23"",""Minimum Rate"":""1,485.21"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,485.21"",""Aetna Rate"":""1,760.54"",""Anthem HMO Rate"":""2,048.83"",""Anthem PPO Rate"":""2,186.69"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,243.47"",""ConnectiCare Exchange Rate"":""3,061.06"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64491"",""DESC"":""PRVTEB FCET CRV-THR 2ND LVL"",""Revenue Code"":""361"",""Hospital Charge"":""1351.78"",""Minimum Rate"":""527.19"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""527.19"",""Aetna Rate"":""624.93"",""Anthem HMO Rate"":""727.26"",""Anthem PPO Rate"":""776.19"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,151.31"",""ConnectiCare Exchange Rate"":""1,086.56"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""CTACB PELVIS RUNOFF WO-W IV"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTACB C-A-P RUNOFF WO-W IV"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""62328"",""DESC"":""CT GUID SPINAL LUMB PUNC DIAG"",""Revenue Code"":""350"",""Hospital Charge"":""2624.92"",""Minimum Rate"":""716.60"",""Maximum Rate"":""716.60"",""Self-Pay Rate"":""716.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""62329"",""DESC"":""CT SPINAL LUMBAR PUNC THER"",""Revenue Code"":""350"",""Hospital Charge"":""2624.92"",""Minimum Rate"":""716.60"",""Maximum Rate"":""716.60"",""Self-Pay Rate"":""716.60"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""62272"",""DESC"":""LUMBAR-SPINAL PUNCTURE THERAP"",""Revenue Code"":""361"",""Hospital Charge"":""4032.97"",""Minimum Rate"":""1,572.86"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,572.86"",""Aetna Rate"":""1,864.44"",""Anthem HMO Rate"":""2,169.74"",""Anthem PPO Rate"":""2,315.73"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,434.88"",""ConnectiCare Exchange Rate"":""3,241.70"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""Q9967"",""DESC"":""CONTRAST OPTIRAY-320 100ML"",""Revenue Code"":""255"",""Hospital Charge"":""0.91"",""Minimum Rate"":"" - "",""Maximum Rate"":""3.26"",""Self-Pay Rate"":""0.27"",""Aetna Rate"":""0.25"",""Anthem HMO Rate"":""0.35"",""Anthem PPO Rate"":""0.35"",""CIGNA Rate"":""0.22"",""ConnectiCare Commercial Rate"":""3.26"",""ConnectiCare Exchange Rate"":""3.05"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W & W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71270"",""DESC"":""CT CHEST WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""412.80"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""412.80"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,450.18"",""ConnectiCare Exchange Rate"":""1,347.64"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70450"",""DESC"":""CT HEAD WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""146.75"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""146.75"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""645.94"",""ConnectiCare Exchange Rate"":""600.27"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70486"",""DESC"":""CT FACIAL-SINUS WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""194.94"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""194.94"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""854.92"",""ConnectiCare Exchange Rate"":""794.47"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""70460"",""DESC"":""CT HEAD W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""210.76"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""210.76"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""946.68"",""ConnectiCare Exchange Rate"":""879.74"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70481"",""DESC"":""CT IAC-PIT-ORBITS W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""414.25"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.25"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,485.02"",""ConnectiCare Exchange Rate"":""1,380.02"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""55700"",""DESC"":""BX PROSTATE"",""Revenue Code"":""361"",""Hospital Charge"":""13469.39"",""Minimum Rate"":""1,950.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""5,253.06"",""Aetna Rate"":""6,226.90"",""Anthem HMO Rate"":""7,246.53"",""Anthem PPO Rate"":""7,734.12"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""1,950.00"",""ConnectiCare Exchange Rate"":""1,950.00"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""70480"",""DESC"":""CT IAC-PIT-ORBITS WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""984.68"",""ConnectiCare Exchange Rate"":""915.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CHT-ABD-PEL W & W-O CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""76376"",""DESC"":""CT 3D RENDER W-INTERP > PROC"",""Revenue Code"":""350"",""Hospital Charge"":""960.86"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""262.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""25.96"",""Anthem PPO Rate"":""638.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""121.14"",""ConnectiCare Exchange Rate"":""113.15"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CHT-ABD-PEL W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70491"",""DESC"":""CT SOFT TISSUE NECK W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""332.98"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""332.98"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,184.20"",""ConnectiCare Exchange Rate"":""1,100.47"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-CHT-ABD-PEL W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70490"",""DESC"":""CT SOFT TISSUE NECK WO CON"",""Revenue Code"":""351"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,059.94"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial" "Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71260"",""DESC"":""CT CHEST W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""334.44"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""334.44"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,187.35"",""ConnectiCare Exchange Rate"":""1,103.40"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABD-PEL W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""71250"",""DESC"":""CT CHEST WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""74160"",""DESC"":""CT ABDOMEN W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""334.44"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""334.44"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,599.01"",""ConnectiCare Exchange Rate"":""1,485.94"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""74150"",""DESC"":""CT ABDOMEN WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""180.55"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""180.55"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""794.70"",""ConnectiCare Exchange Rate"":""738.50"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""72193"",""DESC"":""CT PELVIS W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,599.01"",""ConnectiCare Exchange Rate"":""1,485.94"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-NK-CHT-ABD-PEL W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72192"",""DESC"":""CT PELVIS WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""183.44"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""183.44"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""807.39"",""ConnectiCare Exchange Rate"":""750.30"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-NK-CHT-ABD-PEL W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73701"",""DESC"":""CT LOWER EXTREMITY W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.87"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.87"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73700"",""DESC"":""CT LOWER EXTREMITY WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""930.92"",""ConnectiCare Exchange Rate"":""865.09"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-NECK W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73201"",""DESC"":""CT UPPER EXTREMITY W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""329.40"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""329.40"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,462.87"",""ConnectiCare Exchange Rate"":""1,359.43"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-NECK W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73200"",""DESC"":""CT UPPER EXTREMITY WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""984.68"",""ConnectiCare Exchange Rate"":""915.05"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72126"",""DESC"":""CT CERVICAL SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""336.59"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""336.59"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,193.74"",""ConnectiCare Exchange Rate"":""1,109.33"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72125"",""DESC"":""CT CERVICAL SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""937.22"",""ConnectiCare Exchange Rate"":""870.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-ABDOMEN W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72129"",""DESC"":""CT THORACIC SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""337.31"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""337.31"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,206.35"",""ConnectiCare Exchange Rate"":""1,121.05"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FACIAL SINUS W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72128"",""DESC"":""CT THORACIC SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""937.22"",""ConnectiCare Exchange Rate"":""870.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FACIAL SINUS W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72132"",""DESC"":""CT LUMBAR SPINE W CON"",""Revenue Code"":""352"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""335.16"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,429.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""335.16"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,196.89"",""ConnectiCare Exchange Rate"":""1,112.26"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FAC SINUS W & W-O CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72131"",""DESC"":""CT LUMBAR SPINE WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""3882.55"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,581.90"",""Self-Pay Rate"":""1,145.35"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,581.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""930.92"",""ConnectiCare Exchange Rate"":""865.09"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES WO CN"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""76380"",""DESC"":""CT LIMITED LOCALIZED"",""Revenue Code"":""350"",""Hospital Charge"":""1790.86"",""Minimum Rate"":""119.43"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""488.90"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""119.43"",""Anthem PPO Rate"":""1,190.92"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""699.70"",""ConnectiCare Exchange Rate"":""650.23"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CT CONS OUTSIDE EXAM WRITTEN R"",""Revenue Code"":""320"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-ORB-FCIAL BNES W&W-O"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77012"",""DESC"":""CT GUIDNC for NEEDLE BIOPSY"",""Revenue Code"":""350"",""Hospital Charge"":""5224.81"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,474.50"",""Self-Pay Rate"":""1,426.37"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""134.53"",""Anthem PPO Rate"":""3,474.50"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""683.94"",""ConnectiCare Exchange Rate"":""635.58"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""74170"",""DESC"":""CT ABDOMEN WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""385.48"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""385.48"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-NECK W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""72194"",""DESC"":""CT PELVIS WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""399.86"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""399.86"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CHEST-NECK W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70470"",""DESC"":""CT HEAD WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""256.06"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""256.06"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,133.51"",""ConnectiCare Exchange Rate"":""1,053.36"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCBA CHST-ABD-PEL W & W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70488"",""DESC"":""CT FACIAL-SINUS WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""283.38"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""283.38"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,244.35"",""ConnectiCare Exchange Rate"":""1,156.36"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70482"",""DESC"":""CT IAC-PIT-ORBITS WO & W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""459.55"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""459.55"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72127"",""DESC"":""CT CERVICAL SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""414.97"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.97"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,481.87"",""ConnectiCare Exchange Rate"":""1,377.09"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72130"",""DESC"":""CT THORACIC SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""415.69"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""415.69"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,485.02"",""ConnectiCare Exchange Rate"":""1,380.02"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72133"",""DESC"":""CT LUMBAR SPINE WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""414.97"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""414.97"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,475.48"",""ConnectiCare Exchange Rate"":""1,371.15"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""77014"",""DESC"":""CT GUIDNC RADIATN FIELD PLCMT"",""Revenue Code"":""350"",""Hospital Charge"":""2281.87"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""622.95"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""147.48"",""Anthem PPO Rate"":""1,517.44"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""687.09"",""ConnectiCare Exchange Rate"":""638.51"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""77011"",""DESC"":""CT STEREO LOCAL GUIDANCE"",""Revenue Code"":""350"",""Hospital Charge"":""4883.09"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,247.25"",""Self-Pay Rate"":""1,333.08"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""317.90"",""Anthem PPO Rate"":""3,247.25"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,507.17"",""ConnectiCare Exchange Rate"":""1,400.60"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""32551"",""DESC"":""TUBE THORACOSTMY W&W-O H2O SEL"",""Revenue Code"":""361"",""Hospital Charge"":""2936.55"",""Minimum Rate"":""1,145.25"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,145.25"",""Aetna Rate"":""1,357.57"",""Anthem HMO Rate"":""1,579.86"",""Anthem PPO Rate"":""1,686.17"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,501.06"",""ConnectiCare Exchange Rate"":""2,360.40"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""49180"",""DESC"":""BX PERC ABDOM-RETROP MASS"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20225"",""DESC"":""BX BONE DEEP NEDL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""19234.97"",""Minimum Rate"":""7,501.64"",""Maximum Rate"":""16,382.42"",""Self-Pay Rate"":""7,501.64"",""Aetna Rate"":""8,892.33"",""Anthem HMO Rate"":""10,348.41"",""Anthem PPO Rate"":""11,044.72"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""16,382.42"",""ConnectiCare Exchange Rate"":""15,461.07"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20220"",""DESC"":""BX BONE SUPERFICIAL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""8887.95"",""Minimum Rate"":""3,466.30"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,466.30"",""Aetna Rate"":""4,108.90"",""Anthem HMO Rate"":""4,781.72"",""Anthem PPO Rate"":""5,103.46"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,569.87"",""ConnectiCare Exchange Rate"":""7,144.13"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""47000"",""DESC"":""BX LIVER NEDL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""1,950.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,950.00"",""ConnectiCare Exchange Rate"":""1,950.00"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""50200"",""DESC"":""BX RENAL NEDL PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32405"",""DESC"":""BX LUNG-MEDIASTINUM PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""G0297"",""DESC"":""CT LUNG SCREENING"",""Revenue Code"":""350"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""409.07"",""Maximum Rate"":""1,719.10"",""Self-Pay Rate"":""868.53"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":""409.07"",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""1,719.10"",""ConnectiCare Exchange Rate"":""1,605.63"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70487"",""DESC"":""CT FACIAL-SINUS W CON"",""Revenue Code"":""351"",""Hospital Charge"":""4844.14"",""Minimum Rate"":""223.69"",""Maximum Rate"":""3,221.35"",""Self-Pay Rate"":""1,322.45"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""223.69"",""Anthem PPO Rate"":""3,221.35"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""981.52"",""ConnectiCare Exchange Rate"":""912.12"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70496"",""DESC"":""CT CTA HEAD WO-W W-POST IMG S+"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""415.76"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""415.76"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""70498"",""DESC"":""CT CTA NECK WO-W W-POST IMG S+"",""Revenue Code"":""351"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""412.87"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,515.87"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""412.87"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""71275"",""DESC"":""CTA CHEST WO-WC W-POST IMG"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""417.91"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""417.91"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""72191"",""DESC"":""CT CTA PEL WO-WC W-POST IMG S+"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""428.69"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""428.69"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73206"",""DESC"":""CT CTA UPPER EXTREM W&W-O CONT"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""473.99"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""473.99"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""73706"",""DESC"":""CT CTA LOW EXT W-O-WC W-POST I"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""514.99"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""3,424.30"",""Anthem HMO Rate"":""514.99"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""74175"",""DESC"":""CT CTA ABD WO-WC W-POST IMG S+"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""433.02"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""433.02"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75635"",""DESC"":""CT CTA AOLE WO-WC W-POST IMG S"",""Revenue Code"":""352"",""Hospital Charge"":""5552.62"",""Minimum Rate"":""521.53"",""Maximum Rate"":""3,692.49"",""Self-Pay Rate"":""1,638.02"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""521.53"",""Anthem PPO Rate"":""3,692.49"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75989"",""DESC"":""CT GUIDNC DRAINAGE ABSCESS"",""Revenue Code"":""350"",""Hospital Charge"":""2110.32"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""576.12"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""124.47"",""Anthem PPO Rate"":""1,403.36"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""560.41"",""ConnectiCare Exchange Rate"":""520.78"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""50592"",""DESC"":""ABLATN 1-MORE RENAL TUMOR UNIL"",""Revenue Code"":""361"",""Hospital Charge"":""56461.71"",""Minimum Rate"":""8,352.00"",""Maximum Rate"":""48,088.44"",""Self-Pay Rate"":""22,020.07"",""Aetna Rate"":""26,102.25"",""Anthem HMO Rate"":""30,376.40"",""Anthem PPO Rate"":""32,420.31"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""48,088.44"",""ConnectiCare Exchange Rate"":""45,383.92"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""20982"",""DESC"":""ABLAT BONE TUMR-SOF TIS W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""21171.17"",""Minimum Rate"":""8,256.76"",""Maximum Rate"":""18,031.49"",""Self-Pay Rate"":""8,256.76"",""Aetna Rate"":""9,787.43"",""Anthem HMO Rate"":""11,390.09"",""Anthem PPO Rate"":""12,156.49"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""18,031.49"",""ConnectiCare Exchange Rate"":""17,017.39"",""UnitedHealthcare\/Oxford Rate"":""12,757.00""},{""CPT-4"":""77013"",""DESC"":""CT GUID & MONITOR TISSUE ABLAT"",""Revenue Code"":""350"",""Hospital Charge"":""1488.07"",""Minimum Rate"":"" - "",""Maximum Rate"":""3,049.89"",""Self-Pay Rate"":""406.24"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""734.91"",""Anthem PPO Rate"":""989.57"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""3,049.89"",""ConnectiCare Exchange Rate"":""2,834.24"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""47382"",""DESC"":""ABLATN 1-MORE LIVER TUMOR UNIL"",""Revenue Code"":""361"",""Hospital Charge"":""56461.71"",""Minimum Rate"":""9,007.00"",""Maximum Rate"":""48,088.44"",""Self-Pay Rate"":""22,020.07"",""Aetna Rate"":""26,102.25"",""Anthem HMO Rate"":""30,376.40"",""Anthem PPO Rate"":""32,420.31"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""48,088.44"",""ConnectiCare Exchange Rate"":""45,383.92"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX ABD RETROP-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX BONE DEEP- GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX BONE SUPERF-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX LIVER-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX RENAL-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB BX LUNG PERCUTAN-GUIDED"",""Revenue Code"":""361"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP W-O & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP W & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HD-C-SP WO & W & REC"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CT WHOLE BODY SCAN"",""Revenue Code"":""350"",""Hospital Charge"":""1172.19"",""Minimum Rate"":""320.01"",""Maximum Rate"":""320.01"",""Self-Pay Rate"":""320.01"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""77078"",""DESC"":""CT BONE MIN DENS AX SKEL"",""Revenue Code"":""352"",""Hospital Charge"":""1182.33"",""Minimum Rate"":""119.43"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""348.79"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""119.43"",""Anthem PPO Rate"":""786.25"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""699.70"",""ConnectiCare Exchange Rate"":""650.23"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""32998"",""DESC"":""ABLATN PULM TUMOR 1 OR MORE"",""Revenue Code"":""361"",""Hospital Charge"":""27165"",""Minimum Rate"":""10,594.35"",""Maximum Rate"":""23,136.43"",""Self-Pay Rate"":""10,594.35"",""Aetna Rate"":""12,558.38"",""Anthem HMO Rate"":""14,614.77"",""Anthem PPO Rate"":""15,598.14"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""23,136.43"",""ConnectiCare Exchange Rate"":""21,835.23"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""77073"",""DESC"":""CT BONE LNGTH STDY (SCANOGRAM)"",""Revenue Code"":""350"",""Hospital Charge"":""721.7"",""Minimum Rate"":""43.22"",""Maximum Rate"":""479.93"",""Self-Pay Rate"":""197.02"",""Aetna Rate"":""445.07"",""Anthem HMO Rate"":""43.22"",""Anthem PPO Rate"":""479.93"",""CIGNA Rate"":""144.48"",""ConnectiCare Commercial Rate"":""278.32"",""ConnectiCare Exchange Rate"":""259.95"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""(blank)"",""DESC"":""CTCB TRAUMA CHARGES"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""C.T. CONSULTATION IMAGES"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Ma" "imum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB SFT TIS-CHST-ABD-PEL WCON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCBA CHEST & ABDOMEN WO&W CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""32550"",""DESC"":""INSERTION PLEURAL CATH"",""Revenue Code"":""361"",""Hospital Charge"":""32196.9"",""Minimum Rate"":""12,459.00"",""Maximum Rate"":""27,422.10"",""Self-Pay Rate"":""12,556.79"",""Aetna Rate"":""14,884.63"",""Anthem HMO Rate"":""17,321.93"",""Anthem PPO Rate"":""18,487.46"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""27,422.10"",""ConnectiCare Exchange Rate"":""25,879.87"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""73702"",""DESC"":""CT LOWER EXTREM WO & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""427.19"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""427.19"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,532.47"",""ConnectiCare Exchange Rate"":""1,424.12"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""22899"",""DESC"":""SPINAL PROCEDURE CT - MISC"",""Revenue Code"":""361"",""Hospital Charge"":""11643.72"",""Minimum Rate"":""4,541.05"",""Maximum Rate"":""9,916.96"",""Self-Pay Rate"":""4,541.05"",""Aetna Rate"":""5,382.89"",""Anthem HMO Rate"":""6,264.32"",""Anthem PPO Rate"":""6,685.82"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""9,916.96"",""ConnectiCare Exchange Rate"":""9,359.22"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT WO CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT W CON"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB PELVIS & LOWER EXT WO&W"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB TRAUMA NO CONTRAST"",""Revenue Code"":""352"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""C9728"",""DESC"":""PLCMT FIDUCL SEED NON-PROSTATE"",""Revenue Code"":""361"",""Hospital Charge"":""14906.41"",""Minimum Rate"":""5,813.50"",""Maximum Rate"":""12,695.79"",""Self-Pay Rate"":""5,813.50"",""Aetna Rate"":""6,891.23"",""Anthem HMO Rate"":""8,019.65"",""Anthem PPO Rate"":""8,559.26"",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":""12,695.79"",""ConnectiCare Exchange Rate"":""11,981.77"",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""70492"",""DESC"":""CT SOFT TISSUE NECK W-O&W CON"",""Revenue Code"":""351"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""411.36"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,484.91"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""411.36"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,450.18"",""ConnectiCare Exchange Rate"":""1,347.64"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""(blank)"",""DESC"":""CTCB CERV SPINE-REC W-O CON"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""73202"",""DESC"":""CT UPPER EXTREMITY W-O & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""5439.23"",""Minimum Rate"":""435.10"",""Maximum Rate"":""3,617.09"",""Self-Pay Rate"":""1,604.57"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""435.10"",""Anthem PPO Rate"":""3,617.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""76377"",""DESC"":""CT 3D RECONSTRUC W-INTRP"",""Revenue Code"":""350"",""Hospital Charge"":""1912.21"",""Minimum Rate"":"" - "",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""522.03"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""48.96"",""Anthem PPO Rate"":""1,271.62"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""294.63"",""ConnectiCare Exchange Rate"":""275.18"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB UROGRAM W-O & W CON"",""Revenue Code"":""305"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":""68.00"",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":""68.00""},{""CPT-4"":""38505"",""DESC"":""BX LYMPH NODE PERC"",""Revenue Code"":""361"",""Hospital Charge"":""8467.04"",""Minimum Rate"":""3,302.15"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""3,302.15"",""Aetna Rate"":""3,914.31"",""Anthem HMO Rate"":""4,555.27"",""Anthem PPO Rate"":""4,861.77"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,211.38"",""ConnectiCare Exchange Rate"":""6,805.81"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""62267"",""DESC"":""BX INTRAVERTEBRL DISC PERC"",""Revenue Code"":""361"",""Hospital Charge"":""5055.83"",""Minimum Rate"":""1,971.77"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,971.77"",""Aetna Rate"":""2,337.31"",""Anthem HMO Rate"":""2,720.04"",""Anthem PPO Rate"":""2,903.06"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,306.05"",""ConnectiCare Exchange Rate"":""4,063.88"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""48102"",""DESC"":""BX NEDL PANCREAS PERC"",""Revenue Code"":""361"",""Hospital Charge"":""10626.6"",""Minimum Rate"":""4,144.37"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""4,144.37"",""Aetna Rate"":""4,912.68"",""Anthem HMO Rate"":""5,717.11"",""Anthem PPO Rate"":""6,101.79"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""9,050.68"",""ConnectiCare Exchange Rate"":""8,541.66"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""20206"",""DESC"":""BX NEDL MUSCLE PERC"",""Revenue Code"":""361"",""Hospital Charge"":""8590.4"",""Minimum Rate"":""3,350.26"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""3,350.26"",""Aetna Rate"":""3,971.34"",""Anthem HMO Rate"":""4,621.64"",""Anthem PPO Rate"":""4,932.61"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,316.44"",""ConnectiCare Exchange Rate"":""6,904.96"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49423"",""DESC"":""EXCHANGE DRAINAGE CATH"",""Revenue Code"":""361"",""Hospital Charge"":""16830.57"",""Minimum Rate"":""6,563.92"",""Maximum Rate"":""14,334.60"",""Self-Pay Rate"":""6,563.92"",""Aetna Rate"":""7,780.77"",""Anthem HMO Rate"":""9,054.85"",""Anthem PPO Rate"":""9,664.11"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""14,334.60"",""ConnectiCare Exchange Rate"":""13,528.41"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""75984"",""DESC"":""CT GUIDE CHANGE TUB-DRAIN CATH"",""Revenue Code"":""320"",""Hospital Charge"":""2297.6"",""Minimum Rate"":"" - "",""Maximum Rate"":""1,527.90"",""Self-Pay Rate"":""627.24"",""Aetna Rate"":""1,416.93"",""Anthem HMO Rate"":""143.16"",""Anthem PPO Rate"":""1,527.90"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""589.42"",""ConnectiCare Exchange Rate"":""550.51"",""UnitedHealthcare\/Oxford Rate"":"" - ""},{""CPT-4"":""20610"",""DESC"":""ARTHROCENTSIS ASP LRG JOINT"",""Revenue Code"":""361"",""Hospital Charge"":""2809.61"",""Minimum Rate"":""1,095.75"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,095.75"",""Aetna Rate"":""1,298.88"",""Anthem HMO Rate"":""1,511.57"",""Anthem PPO Rate"":""1,613.28"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""2,392.94"",""ConnectiCare Exchange Rate"":""2,258.36"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""58999"",""DESC"":""SURG PROC GENITAL FEMALE"",""Revenue Code"":""361"",""Hospital Charge"":""633.79"",""Minimum Rate"":""247.18"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""247.18"",""Aetna Rate"":""293.00"",""Anthem HMO Rate"":""340.98"",""Anthem PPO Rate"":""363.92"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""539.80"",""ConnectiCare Exchange Rate"":""509.44"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""75571"",""DESC"":""*CTA HEART W QUN CON EVAL STRC"",""Revenue Code"":""350"",""Hospital Charge"":""149"",""Minimum Rate"":""40.68"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""40.68"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""59.04"",""Anthem PPO Rate"":""99.09"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""674.40"",""ConnectiCare Exchange Rate"":""626.71"",""UnitedHealthcare\/Oxford Rate"":""218.05""},{""CPT-4"":""75572"",""DESC"":""CTA HEART W CON EVAL STRUCT"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""396.35"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""396.35"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,440.64"",""ConnectiCare Exchange Rate"":""1,338.77"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75573"",""DESC"":""CTA HEART W CON CNGNTV DISEASE"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""435.17"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""435.17"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""75574"",""DESC"":""CTA HEART W CON COR ART-GFT"",""Revenue Code"":""350"",""Hospital Charge"":""4389.43"",""Minimum Rate"":""434.38"",""Maximum Rate"":""2,918.97"",""Self-Pay Rate"":""1,198.31"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""434.38"",""Anthem PPO Rate"":""2,918.97"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,598.93"",""ConnectiCare Exchange Rate"":""1,485.87"",""UnitedHealthcare\/Oxford Rate"":""706.09""},{""CPT-4"":""32553"",""DESC"":""PLCMNT FID SEED CHST SING-MULT"",""Revenue Code"":""361"",""Hospital Charge"":""15123.63"",""Minimum Rate"":""5,898.22"",""Maximum Rate"":""12,880.80"",""Self-Pay Rate"":""5,898.22"",""Aetna Rate"":""6,991.65"",""Anthem HMO Rate"":""8,136.51"",""Anthem PPO Rate"":""8,683.99"",""CIGNA Rate"":""12,117.00"",""ConnectiCare Commercial Rate"":""12,880.80"",""ConnectiCare Exchange Rate"":""12,156.37"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49411"",""DESC"":""PLC FID SEED ABD-PLV SING-MULT"",""Revenue Code"":""361"",""Hospital Charge"":""14906.41"",""Minimum Rate"":""5,813.50"",""Maximum Rate"":""12,695.79"",""Self-Pay Rate"":""5,813.50"",""Aetna Rate"":""6,891.23"",""Anthem HMO Rate"":""8,019.65"",""Anthem PPO Rate"":""8,559.26"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""12,695.79"",""ConnectiCare Exchange Rate"":""11,981.77"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32561"",""DESC"":""INSTL TUB-CATH FIBRIN INIT DAY"",""Revenue Code"":""361"",""Hospital Charge"":""6103.37"",""Minimum Rate"":""2,380.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,380.31"",""Aetna Rate"":""2,821.59"",""Anthem HMO Rate"":""3,283.61"",""Anthem PPO Rate"":""3,504.56"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,198.24"",""ConnectiCare Exchange Rate"":""4,905.89"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32562"",""DESC"":""INSTIL TUB-CATH FIBRN SBQN DAY"",""Revenue Code"":""361"",""Hospital Charge"":""6103.37"",""Minimum Rate"":""2,380.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,380.31"",""Aetna Rate"":""2,821.59"",""Anthem HMO Rate"":""3,283.61"",""Anthem PPO Rate"":""3,504.56"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,198.24"",""ConnectiCare Exchange Rate"":""4,905.89"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""42999"",""DESC"":""PROCEDURE PHARYNX UNLISTED"",""Revenue Code"":""361"",""Hospital Charge"":""1266.74"",""Minimum Rate"":""494.03"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""494.03"",""Aetna Rate"":""585.61"",""Anthem HMO Rate"":""681.51"",""Anthem PPO Rate"":""727.36"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,078.88"",""ConnectiCare Exchange Rate"":""1,018.21"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""49440"",""DESC"":""PLACMNT GASTROS-TUBE PERC"",""Revenue Code"":""361"",""Hospital Charge"":""4625.94"",""Minimum Rate"":""1,804.12"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""1,804.12"",""Aetna Rate"":""2,138.57"",""Anthem HMO Rate"":""2,488.76"",""Anthem PPO Rate"":""2,656.21"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,939.91"",""ConnectiCare Exchange Rate"":""3,718.33"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""21550"",""DESC"":""BX SOFT TISSUE NECK-CHEST"",""Revenue Code"":""361"",""Hospital Charge"":""22294.49"",""Minimum Rate"":""8,352.00"",""Maximum Rate"":""18,988.22"",""Self-Pay Rate"":""8,694.85"",""Aetna Rate"":""10,306.74"",""Anthem HMO Rate"":""11,994.44"",""Anthem PPO Rate"":""12,801.50"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""18,988.22"",""ConnectiCare Exchange Rate"":""17,920.31"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""0200T"",""DESC"":""SACROPLASTY UNIL W CT GUIDNC"",""Revenue Code"":""361"",""Hospital Charge"":""28050.44"",""Minimum Rate"":""10,939.67"",""Maximum Rate"":""23,890.56"",""Self-Pay Rate"":""10,939.67"",""Aetna Rate"":""12,967.72"",""Anthem HMO Rate"":""15,091.14"",""Anthem PPO Rate"":""16,106.56"",""CIGNA Rate"":""13,428.00"",""ConnectiCare Commercial Rate"":""23,890.56"",""ConnectiCare Exchange Rate"":""22,546.94"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""0201T"",""DESC"":""SACROPLASTY BILAT W GUIDNC"",""Revenue Code"":""361"",""Hospital Charge"":""39913.37"",""Minimum Rate"":""12,459.00"",""Maximum Rate"":""33,994.22"",""Self-Pay Rate"":""15,566.21"",""Aetna Rate"":""18,451.95"",""Anthem HMO Rate"":""21,473.39"",""Anthem PPO Rate"":""22,918.26"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""33,994.22"",""ConnectiCare Exchange Rate"":""32,082.37"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""74176"",""DESC"":""CT ABD & PELVIS W-O CON"",""Revenue Code"":""352"",""Hospital Charge"":""6863.47"",""Minimum Rate"":""225.13"",""Maximum Rate"":""4,564.21"",""Self-Pay Rate"":""2,024.72"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""225.13"",""Anthem PPO Rate"":""4,564.21"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""1,000.52"",""ConnectiCare Exchange Rate"":""929.78"",""UnitedHealthcare\/Oxford Rate"":""806.96""},{""CPT-4"":""74177"",""DESC"":""CT ABD & PELVIS W CON"",""Revenue Code"":""352"",""Hospital Charge"":""10251.73"",""Minimum Rate"":""440.86"",""Maximum Rate"":""6,817.40"",""Self-Pay Rate"":""3,024.26"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""440.86"",""Anthem PPO Rate"":""6,817.40"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,096.12"",""ConnectiCare Exchange Rate"":""1,947.90"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""74178"",""DESC"":""CT ABD & PELVIS W-O & W CON"",""Revenue Code"":""352"",""Hospital Charge"":""10251.73"",""Minimum Rate"":""504.85"",""Maximum Rate"":""6,817.40"",""Self-Pay Rate"":""3,024.26"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""504.85"",""Anthem PPO Rate"":""6,817.40"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,377.94"",""ConnectiCare Exchange Rate"":""2,209.80"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""(blank)"",""DESC"":""DR. HOLLANDER"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""38221"",""DESC"":""BX BONE MARROW NEDL-TROCAR"",""Revenue Code"":""361"",""Hospital Charge"":""4916.87"",""Minimum Rate"":""1,917.58"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,917.58"",""Aetna Rate"":""2,273.07"",""Anthem HMO Rate"":""2,645.28"",""Anthem PPO Rate"":""2,823.27"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,187.70"",""ConnectiCare Exchange Rate"":""3,952.18"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""74174"",""DESC"":""CTA ABD & PEL W-O & W CONTRAST"",""Revenue Code"":""352"",""Hospital Charge"":""9051.88"",""Minimum Rate"":""558.85"",""Maximum Rate"":""6,019.50"",""Self-Pay Rate"":""2,670.30"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""558.85"",""Anthem PPO Rate"":""6,019.50"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""2,627.99"",""ConnectiCare Exchange Rate"":""2,442.17"",""UnitedHealthcare\/Oxford Rate"":""1,350.58""},{""CPT-4"":""49083"",""DESC"":""PARACENTESIS W IMAGING"",""Revenue Code"":""361"",""Hospital Charge"":""6005.91"",""Minimum Rate"":""2,342.30"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""2,342.30"",""Aetna Rate"":""2,776.53"",""Anthem HMO Rate"":""3,231.18"",""Anthem PPO Rate"":""3,448.59"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,115.23"",""ConnectiCare Exchange Rate"":""4,827.55"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""42400"",""DESC"":""BX SALIVARY GLAND"",""Revenue Code"":""361"",""Hospital Charge"":""8467.04"",""Minimum Rate"":""3,302.15"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,302.15"",""Aetna Rate"":""3,914.31"",""Anthem HMO Rate"":""4,555.27"",""Anthem PPO Rate"":""4,861.77"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""7,211.38"",""ConnectiCare Exchange Rate"":""6,805.81"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64530"",""DESC"":""INJCT CELIAC PLEXIS NRV BLOCK"",""Revenue Code"":""361"",""Hospital Charge"":""9542.76"",""Minimum Rate"":""3,721.68"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""3,721.68"",""Aetna Rate"":""4,411.62"",""Anthem HMO Rate"":""5,134.00"",""Anthem PPO Rate"":""5,479.45"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""8,127.57"",""ConnectiCare Exchange Rate"":""7,670.47"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""10140"",""DESC"":""I&D HEMAT-SEROMA-FLUID COL"",""Revenue Code"":""361"",""Hospital Charge"":""6675.55"",""Minimum Rate"":""818.00"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""2,603.46"",""Aetna Rate"":""3,086.11"",""Anthem HMO Rate"":""3,591.45"",""Anthem PPO Rate"":""3,833.10"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""5,685.57"",""ConnectiCare Exchange Rate"":""5,365.81"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""32555"",""DESC"":""ASPIR PLEURA THORACENT W GUIDE"",""Revenue Code"":""361"",""Hospital Charge"":""6004.23"",""Minimum Rate"":""2,341.65"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,341.65"",""Aetna Rate"":""2,775.76"",""Anthem HMO Rate"":""3,230.28"",""Anthem PPO Rate"":""3,447.63"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,113.80"",""ConnectiCare Exchange Rate"":""4,826.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32557"",""DESC"":""INSRT PLEURAL CATH DRAIN W S&I"",""Revenue Code"":""361"",""Hospital Charge"":""6004.23"",""Minimum Rate"":""2,341.65"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""2,341.65"",""Aetna Rate"":""2,775.76"",""Anthem HMO Rate"":""3,230.28"",""Anthem PPO Rate"":""3,447.63"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""5,113.80"",""ConnectiCare Exchange Rate"":""4,826.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64680"",""DESC"":""ABLATE CELIAC NERVE W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""15795.36"",""Minimum Rate"":""6,160.19"",""Maximum Rate"":""13,452.91"",""Self-Pay Rate"":""6,160.19"",""Aetna Rate"":""7,302.19"",""Anthem HMO Rate"":""8,497.90"",""Anthem PPO Rate"":""9,069.70"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""13,452.91"",""ConnectiCare Exchange Rate"":""12,696.31"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""32400"",""DESC"":""BX NEDL PLEURA PERC"",""Revenue Code"":""361"",""Hospital Charge"":""5112.6"",""Minimum Rate"":""1,993.91"",""Maximum Rate"":""9,730.00"",""Self-Pay Rate"":""1,993.91"",""Aetna Rate"":""2,363.55"",""Anthem HMO Rate"":""2,750.58"",""Anthem PPO Rate"":""2,935.65"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""4,354.40"",""ConnectiCare Exchange Rate"":""4,109.51"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""64640"",""DESC"":""ABLATION SPECIFIED NERVE OTHER"",""Revenue Code"":""361"",""Hospital Charge"":""4576.49"",""Minimum Rate"":""1,784.83"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,784.83"",""Aetna Rate"":""2,115.71"",""Anthem HMO Rate"":""2,462.15"",""Anthem PPO Rate"":""2,627.82"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,897.80"",""ConnectiCare Exchange Rate"":""3,678.58"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64999"",""DESC"":""NERVOUS SYSTEM UNLISTED PROC"",""Revenue Code"":""361"",""Hospital Charge"":""1586.27"",""Minimum Rate"":""618.65"",""Maximum Rate"":""9,007.00"",""Self-Pay Rate"":""618.65"",""Aetna Rate"":""733.33"",""Anthem HMO Rate"":""853.41"",""Anthem PPO Rate"":""910.84"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""1,351.03"",""ConnectiCare Exchange Rate"":""1,275.04"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""(blank)"",""DESC"":""CT HEAD W-O STROKE ALERT"",""Revenue Code"":""351"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""C.T. IMAGE STORAGE"",""Revenue Code"":""350"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""(blank)"",""DESC"":""CTCB HEAD-FAC-C-SPINE W-O CON"",""Revenue Code"":""351"",""Hospital Charge"":""0"",""Minimum Rate"":"" - "",""Maximum Rate"":"" - "",""Self-Pay Rate"":"" - "",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""10160"",""DESC"":""ASPIRATE PUNC ABSCESS HEMATOMA"",""Revenue Code"":""361"",""Hospital Charge"":""4745.9"",""Minimum Rate"":""818.00"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""1,850.90"",""Aetna Rate"":""2,194.03"",""Anthem HMO Rate"":""2,553.29"",""Anthem PPO Rate"":""2,725.10"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""4,042.08"",""ConnectiCare Exchange Rate"":""3,814.75"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""27041"",""DESC"":""BX SOFT TISSUE PELVIC-HIP AREA"",""Revenue Code"":""361"",""Hospital Charge"":""9650.9"",""Minimum Rate"":""3,763.85"",""Maximum Rate"":""8,515.00"",""Self-Pay Rate"":""3,763.85"",""Aetna Rate"":""4,461.61"",""Anthem HMO Rate"":""5,192.18"",""Anthem PPO Rate"":""5,541.55"",""CIGNA Rate"":""8,515.00"",""ConnectiCare Commercial Rate"":""8,219.67"",""ConnectiCare Exchange Rate"":""7,757.39"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""11200"",""DESC"":""REMOVAL SKIN TAGS > 15 TAGS"",""Revenue Code"":""361"",""Hospital Charge"":""1085.21"",""Minimum Rate"":""423.23"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""423.23"",""Aetna Rate"":""501.69"",""Anthem HMO Rate"":""583.84"",""Anthem PPO Rate"":""623.13"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""924.27"",""ConnectiCare Exchange Rate"":""872.29"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""58805"",""DESC"":""DRAING OVARIAN CYST ABDOMINAL"",""Revenue Code"":""361"",""Hospital Charge"":""18652.31"",""Minimum Rate"":""7,274.40"",""Maximum Rate"":""15,886.17"",""Self-Pay Rate"":""7,274.40"",""Aetna Rate"":""8,622.96"",""Anthem HMO Rate"":""10,034.94"",""Anthem PPO Rate"":""10,710.16"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""15,886.17"",""ConnectiCare Exchange Rate"":""14,992.73"",""UnitedHealthcare\/Oxford Rate"":""10,679.00""},{""CPT-4"":""49405"",""DESC"":""DRAING ABSCS KID - LIVR - LUNG"",""Revenue Code"":""361"",""Hospital Charge"":""20313.21"",""Minimum Rate"":""7,922.15"",""Maximum Rate"":""17,300.76"",""Self-Pay Rate"":""7,922.15"",""Aetna Rate"":""9,390.80"",""Anthem HMO Rate"":""10,928.51"",""Anthem PPO Rate"":""11,663.85"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""17,300.76"",""ConnectiCare Exchange Rate"":""16,327.76"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49406"",""DESC"":""DRAING ABSCS PERIT-RETRO PERC"",""Revenue Code"":""361"",""Hospital Charge"":""20313.21"",""Minimum Rate"":""7,922.15"",""Maximum Rate"":""17,300.76"",""Self-Pay Rate"":""7,922.15"",""Aetna Rate"":""9,390.80"",""Anthem HMO Rate"":""10,928.51"",""Anthem PPO Rate"":""11,663.85"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""17,300.76"",""ConnectiCare Exchange Rate"":""16,327.76"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""49407"",""DESC"":""DRAIN ABSCS PERIT-RETR TRANSVG"",""Revenue Code"":""361"",""Hospital Charge"":""12583.34"",""Minimum Rate"":""4,907.50"",""Maximum Rate"":""10,717.23"",""Self-Pay Rate"":""4,907.50"",""Aetna Rate"":""5,817.28"",""Anthem HMO Rate"":""6,769.84"",""Anthem PPO Rate"":""7,225.35"",""CIGNA Rate"":""10,479.00"",""ConnectiCare Commercial Rate"":""10,717.23"",""ConnectiCare Exchange Rate"":""10,114.49"",""UnitedHealthcare\/Oxford Rate"":""9,730.00""},{""CPT-4"":""10030"",""DESC"":""DRAIN ABSCS EXT-ABD WALL-NECK"",""Revenue Code"":""361"",""Hospital Charge"":""2651.38"",""Minimum Rate"":""818.00"",""Maximum Rate"":""7,118.00"",""Self-Pay Rate"":""1,034.04"",""Aetna Rate"":""1,225.73"",""Anthem HMO Rate"":""1,426.44"",""Anthem PPO Rate"":""1,522.42"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""2,258.18"",""ConnectiCare Exchange Rate"":""2,131.18"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""64493"",""DESC"":""INJ PRVTEB FCET LUM-SAC 1STLEV"",""Revenue Code"":""350"",""Hospital Charge"":""3808.23"",""Minimum Rate"":""1,039.65"",""Maximum Rate"":""1,039.65"",""Self-Pay Rate"":""1,039.65"",""Aetna Rate"":"" NA "",""Anthem HMO Rate"":"" NA "",""Anthem PPO Rate"":"" NA "",""CIGNA Rate"":"" NA "",""ConnectiCare Commercial Rate"":"" NA "",""ConnectiCare Exchange Rate"":"" NA "",""UnitedHealthcare\/Oxford Rate"":"" NA ""},{""CPT-4"":""64425"",""DESC"":""INJ NRV BLOCK ILIO-INGUIN HYPO"",""Revenue Code"":""361"",""Hospital Charge"":""1968.67"",""Minimum Rate"":""767.78"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""767.78"",""Aetna Rate"":""910.12"",""Anthem HMO Rate"":""1,059.14"",""Anthem PPO Rate"":""1,130.41"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""1,676.72"",""ConnectiCare Exchange Rate"":""1,582.42"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""11900"",""DESC"":""INJ SKIN LESIONS > 7 LESIONS"",""Revenue Code"":""361"",""Hospital Charge"":""1390.38"",""Minimum Rate"":""542.25"",""Maximum Rate"":""4,747.00"",""Self-Pay Rate"":""542.25"",""Aetna Rate"":""642.77"",""Anthem HMO Rate"":""748.02"",""Anthem PPO Rate"":""798.36"",""CIGNA Rate"":""818.00"",""ConnectiCare Commercial Rate"":""1,184.19"",""ConnectiCare Exchange Rate"":""1,117.59"",""UnitedHealthcare\/Oxford Rate"":""4,747.00""},{""CPT-4"":""71250"",""DESC"":""CT CHEST F-U LUNG SCREENING"",""Revenue Code"":""352"",""Hospital Charge"":""3181.43"",""Minimum Rate"":""241.67"",""Maximum Rate"":""2,499.00"",""Self-Pay Rate"":""938.52"",""Aetna Rate"":""2,499.00"",""Anthem HMO Rate"":""241.67"",""Anthem PPO Rate"":""2,115.65"",""CIGNA Rate"":""692.00"",""ConnectiCare Commercial Rate"":""889.69"",""ConnectiCare Exchange Rate"":""826.78"",""UnitedHealthcare\/Oxford Rate"":""393.79""},{""CPT-4"":""60699"",""DESC"":""INVAS ENDOCRINE PROC UNLIST"",""Revenue Code"":""361"",""Hospital Charge"":""12245.29"",""Minimum Rate"":""4,775.66"",""Maximum Rate"":""11,864.00"",""Self-Pay Rate"":""4,775.66"",""Aetna Rate"":""5,661.00"",""Anthem HMO Rate"":""6,587.97"",""Anthem PPO Rate"":""7,031.25"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""10,429.31"",""ConnectiCare Exchange Rate"":""9,842.76"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""21920"",""DESC"":""BX BACK SOFT TISSUE"",""Revenue Code"":""361"",""Hospital Charge"":""4338.39"",""Minimum Rate"":""1,691.97"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""1,691.97"",""Aetna Rate"":""2,005.64"",""Anthem HMO Rate"":""2,334.05"",""Anthem PPO Rate"":""2,491.10"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""3,695.01"",""ConnectiCare Exchange Rate"":""3,487.20"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""27323"",""DESC"":""BX SOFT TISSUE OF THIGH"",""Revenue Code"":""361"",""Hospital Charge"":""1013.61"",""Minimum Rate"":""395.31"",""Maximum Rate"":""8,352.00"",""Self-Pay Rate"":""395.31"",""Aetna Rate"":""468.59"",""Anthem HMO Rate"":""545.32"",""Anthem PPO Rate"":""582.01"",""CIGNA Rate"":""8,352.00"",""ConnectiCare Commercial Rate"":""863.29"",""ConnectiCare Exchange Rate"":""814.74"",""UnitedHealthcare\/Oxford Rate"":""7,118.00""},{""CPT-4"":""20983"",""DESC"":""CRYOABLAT BONE TUMR W SFT TISS"",""Revenue Code"":""361"",""Hospital Charge"":""14890.95"",""Minimum Rate"":""5,807.47"",""Maximum Rate"":""12,682.62"",""Self-Pay Rate"":""5,807.47"",""Aetna Rate"":""6,884.09"",""Anthem HMO Rate"":""8,011.33"",""Anthem PPO Rate"":""8,550.38"",""CIGNA Rate"":""9,007.00"",""ConnectiCare Commercial Rate"":""12,682.62"",""ConnectiCare Exchange Rate"":""11,969.35"",""UnitedHealthcare\/Oxford Rate"":""11,864.00""},{""CPT-4"":""22510"",""DESC"":""VERTPLSTY CERV-THOR W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""10297.13"",""Minimum Rate"":""4,015.88"",""Maximum Rate"":""15,556.00"",""Self-Pay Rate"":""4,015.88"",""Aetna Rate"":""4,760.36"",""Anthem HMO Rate"":""5,539.86"",""Anthem PPO Rate"":""5,912.61"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""8,770.07"",""ConnectiCare Exchange Rate"":""8,276.83"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""22511"",""DESC"":""VERTPLSTY LUNG-SAC W GUID"",""Revenue Code"":""361"",""Hospital Charge"":""10297.13"",""Minimum Rate"":""4,015.88"",""Maximum Rate"":""15,556.00"",""Self-Pay Rate"":""4,015.88"",""Aetna Rate"":""4,760.36"",""Anthem HMO Rate"":""5,539.86"",""Anthem PPO Rate"":""5,912.61"",""CIGNA Rate"":""15,556.00"",""ConnectiCare Commercial Rate"":""8,770.07"",""ConnectiCare Exchange Rate"":""8,276.83"",""UnitedHealthcare\/Oxford Rate"":""12,459.00""},{""CPT-4"":""22512"",""DESC"":""VERT