{"hospital_name":"St. Anthony Hospital Pendleton","last_updated_on":"2026-02-28","version":"3.0.0","location_name": ["St. Anthony Hospital (Pendleton)"],"hospital_address": ["2801 ST ANTHONY WAY, Pendleton, OR 97801"],"license_information":{"license_number":"14-0034","state":"OR"},"type_2_npi": ["1568562866","1649276734"],"attestation": {"attestation":"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.","confirm_attestation": true,"attester_name":"Harold Geller , President, Market President - Pendleton"},"standard_charge_information":[{"description":"ANES IPER UPR ABD PRTL HPTC","code_information":[{"code":"00792","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":232.74,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.84,"methodology":"fee schedule"}]}]},{"description":"ANES IPER UPR ABD PRTL HPTC","code_information":[{"code":"00792","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":140.3,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":241.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":172.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.3,"methodology":"fee schedule"}]}]},{"description":"M- ANES IPER UPR ABD PRTL HPTC","code_information":[{"code":"00792","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":4.54,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"}]}]},{"description":"M- ANES IPER UPR ABD PRTL HPTC","code_information":[{"code":"00792","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":2.74,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2.74,"methodology":"fee schedule"}]}]},{"description":"ANESTH SHOULDER CASTING","code_information":[{"code":"01680","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":174.96,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":220.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"}]}]},{"description":"ANESTH SHOULDER CASTING","code_information":[{"code":"01680","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":105.47,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.47,"methodology":"fee schedule"}]}]},{"description":"MINS ANESTH SHOULDER CASTING","code_information":[{"code":"01680","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":4.54,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"}]}]},{"description":"MINS ANESTH SHOULDER CASTING","code_information":[{"code":"01680","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":2.74,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2.74,"methodology":"fee schedule"}]}]},{"description":"ANESTH HUMERUS REPAIR","code_information":[{"code":"01744","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":174.96,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":220.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"}]}]},{"description":"ANESTH HUMERUS REPAIR","code_information":[{"code":"01744","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":105.47,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.47,"methodology":"fee schedule"}]}]},{"description":"M- ANESTH HUMERUS REPAIR","code_information":[{"code":"01744","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":4.54,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"}]}]},{"description":"M- ANESTH HUMERUS REPAIR","code_information":[{"code":"01744","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":2.74,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2.74,"methodology":"fee schedule"}]}]},{"description":"INJ.DAILY PAIN MANAGMENT","code_information":[{"code":"01996","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":174.96,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":220.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"}]}]},{"description":"INJ.DAILY PAIN MANAGMENT","code_information":[{"code":"01996","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":105.47,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.47,"methodology":"fee schedule"}]}]},{"description":"LOW-LEVEL LATER THERAPY (LLLT)","code_information":[{"code":"0552T","type":"CPT"},{"code":"0420","type":"RC"}],"standard_charges":[{"minimum":5.4,"maximum":9.5,"gross_charge":10,"discounted_cash":6.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.4,"methodology":"fee schedule"}]}]},{"description":"LOW-LEVEL LATER THERAPY (LLLT)","code_information":[{"code":"0552T","type":"CPT"},{"code":"0420","type":"RC"}],"standard_charges":[{"minimum":3.26,"maximum":9.5,"gross_charge":10,"discounted_cash":6.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3.26,"methodology":"fee schedule"}]}]},{"description":"FINE NEEDLE ASP ADDL WO IMG","code_information":[{"code":"10004","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":272.7,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":343.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":323.2,"methodology":"fee schedule"}]}]},{"description":"FINE NEEDLE ASP ADDL WO IMG","code_information":[{"code":"10004","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":164.38,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":164.38,"methodology":"fee schedule"}]}]},{"description":"US FINE NEEDLE ASPRTN 1ST LSN","code_information":[{"code":"10005","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":973.08,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1225.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1153.28,"methodology":"fee schedule"}]}]},{"description":"US FINE NEEDLE ASPRTN 1ST LSN","code_information":[{"code":"10005","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":586.56,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":684.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":586.56,"methodology":"fee schedule"}]}]},{"description":"US FINE NEEDLE ASPRTN ADDL LSN","code_information":[{"code":"10006","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":973.08,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1225.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1153.28,"methodology":"fee schedule"}]}]},{"description":"US FINE NEEDLE ASPRTN ADDL LSN","code_information":[{"code":"10006","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":586.56,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":684.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":586.56,"methodology":"fee schedule"}]}]},{"description":"FINE NEEDLE ASP WO IMG INITIAL","code_information":[{"code":"10021","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":272.7,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":343.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":323.2,"methodology":"fee schedule"}]}]},{"description":"FINE NEEDLE ASP WO IMG INITIAL","code_information":[{"code":"10021","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":164.38,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":164.38,"methodology":"fee schedule"}]}]},{"description":"US GDE FLUID DRAINAGE W/ CATH","code_information":[{"code":"10030","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":959.58,"maximum":1688.15,"gross_charge":1777,"discounted_cash":1210.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":959.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1510.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1137.28,"methodology":"fee schedule"}]}]},{"description":"US GDE FLUID DRAINAGE W/ CATH","code_information":[{"code":"10030","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":578.42,"maximum":1688.15,"gross_charge":1777,"discounted_cash":1210.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":995.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1510.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":710.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":675.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":578.42,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS - SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":303.48,"maximum":533.9,"gross_charge":562,"discounted_cash":382.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":449.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":303.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":477.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":505.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.68,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS - SIMPLE","code_information":[{"code":"10060","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":182.94,"maximum":533.9,"gross_charge":562,"discounted_cash":382.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":449.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":314.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":477.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":505.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":224.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":533.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":182.94,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS - COMPLICATED","code_information":[{"code":"10061","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":400.14,"maximum":703.95,"gross_charge":741,"discounted_cash":504.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":503.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":474.24,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS - COMPLICATED","code_information":[{"code":"10061","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":241.2,"maximum":703.95,"gross_charge":741,"discounted_cash":504.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":414.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":241.2,"methodology":"fee schedule"}]}]},{"description":"I&D PILONIDAL CYST - SIMPLE","code_information":[{"code":"10080","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":243,"maximum":427.5,"gross_charge":450,"discounted_cash":306.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":382.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":405,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"}]}]},{"description":"I&D PILONIDAL CYST - SIMPLE","code_information":[{"code":"10080","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":146.48,"maximum":427.5,"gross_charge":450,"discounted_cash":306.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":382.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":405,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":146.48,"methodology":"fee schedule"}]}]},{"description":"I&D SQ REMOVAL FB - SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":356.94,"maximum":627.95,"gross_charge":661,"discounted_cash":450.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":528.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":356.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":561.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":594.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":449.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.04,"methodology":"fee schedule"}]}]},{"description":"I&D SQ REMOVAL FB - SIMPLE","code_information":[{"code":"10120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":215.16,"maximum":627.95,"gross_charge":661,"discounted_cash":450.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":528.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":561.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":594.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":215.16,"methodology":"fee schedule"}]}]},{"description":"I&D SQ REMOVAL FB - COMPLICATE","code_information":[{"code":"10121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1177.74,"maximum":2071.95,"gross_charge":2181,"discounted_cash":1485.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1744.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1853.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1962.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1483.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1395.84,"methodology":"fee schedule"}]}]},{"description":"I&D SQ REMOVAL FB - COMPLICATE","code_information":[{"code":"10121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":709.92,"maximum":2071.95,"gross_charge":2181,"discounted_cash":1485.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1744.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1221.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1853.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1962.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":872.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2071.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":828.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":709.92,"methodology":"fee schedule"}]}]},{"description":"BSP I&D HEMATMASERMA/FLD COLL","code_information":[{"code":"10140","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":791.1,"maximum":1391.75,"gross_charge":1465,"discounted_cash":998.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":791.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":996.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":937.6,"methodology":"fee schedule"}]}]},{"description":"BSP I&D HEMATMASERMA/FLD COLL","code_information":[{"code":"10140","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":476.86,"maximum":1391.75,"gross_charge":1465,"discounted_cash":998.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":820.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":586,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":476.86,"methodology":"fee schedule"}]}]},{"description":"I&D HEMATOMA/SEROMA/FLD COLL","code_information":[{"code":"10140","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":791.1,"maximum":1391.75,"gross_charge":1465,"discounted_cash":998.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":791.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":996.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":937.6,"methodology":"fee schedule"}]}]},{"description":"I&D HEMATOMA/SEROMA/FLD COLL","code_information":[{"code":"10140","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":476.86,"maximum":1391.75,"gross_charge":1465,"discounted_cash":998.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":820.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":586,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":476.86,"methodology":"fee schedule"}]}]},{"description":"PUNCT.ASPIR.ABCSS-HEMT/BUL/CYS","code_information":[{"code":"10160","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":289.44,"maximum":509.2,"gross_charge":536,"discounted_cash":365.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":289.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":455.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":364.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":343.04,"methodology":"fee schedule"}]}]},{"description":"PUNCT.ASPIR.ABCSS-HEMT/BUL/CYS","code_information":[{"code":"10160","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":174.47,"maximum":509.2,"gross_charge":536,"discounted_cash":365.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":455.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":174.47,"methodology":"fee schedule"}]}]},{"description":"I&D POST-OP WOUND INFECT.CMPLX","code_information":[{"code":"10180","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1445.58,"maximum":2543.15,"gross_charge":2677,"discounted_cash":1823.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1445.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2409.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1820.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1713.28,"methodology":"fee schedule"}]}]},{"description":"I&D POST-OP WOUND INFECT.CMPLX","code_information":[{"code":"10180","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":871.37,"maximum":2543.15,"gross_charge":2677,"discounted_cash":1823.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2409.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1070.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1017.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":871.37,"methodology":"fee schedule"}]}]},{"description":"DEBDMNT-RMVL FRGN MATL FX/DSLO","code_information":[{"code":"11012","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1175.58,"maximum":2068.15,"gross_charge":2177,"discounted_cash":1483.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1741.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1850.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1959.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.28,"methodology":"fee schedule"}]}]},{"description":"DEBDMNT-RMVL FRGN MATL FX/DSLO","code_information":[{"code":"11012","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":708.62,"maximum":2068.15,"gross_charge":2177,"discounted_cash":1483.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1741.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1219.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1850.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1959.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":870.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":827.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":708.62,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT-SUBQ TISSUE 20CM<","code_information":[{"code":"11042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":338.58,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT-SUBQ TISSUE 20CM<","code_information":[{"code":"11042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":204.09,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":204.09,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ<20CM","code_information":[{"code":"11042","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":338.58,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ<20CM","code_information":[{"code":"11042","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":204.09,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":204.09,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMNT-BONE/SQ TISS 20CM<","code_information":[{"code":"11044","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":879.66,"maximum":1547.55,"gross_charge":1629,"discounted_cash":1109.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1303.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1384.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1042.56,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMNT-BONE/SQ TISS 20CM<","code_information":[{"code":"11044","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":530.24,"maximum":1547.55,"gross_charge":1629,"discounted_cash":1109.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1303.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":912.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1384.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":651.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":619.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":530.24,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ EA 20CM","code_information":[{"code":"11045","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":338.58,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ EA 20CM","code_information":[{"code":"11045","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":204.09,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":204.09,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.TRNK.AM.LG 0.5CM<","code_information":[{"code":"11400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":401.76,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":505.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.16,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.TRNK.AM.LG 0.5CM<","code_information":[{"code":"11400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":242.18,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.18,"methodology":"fee schedule"}]}]},{"description":"EXCISION BENIGN LESN .6 TO 1.0","code_information":[{"code":"11401","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":401.76,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":505.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.16,"methodology":"fee schedule"}]}]},{"description":"EXCISION BENIGN LESN .6 TO 1.0","code_information":[{"code":"11401","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":242.18,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.18,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.S/N/H/F/G 0.5CM<","code_information":[{"code":"11420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":785.16,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":785.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":988.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":930.56,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.S/N/H/F/G 0.5CM<","code_information":[{"code":"11420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":473.28,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":581.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":552.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":473.28,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.OTHR .6-1.0 FACE","code_information":[{"code":"11441","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":621,"maximum":1092.5,"gross_charge":1150,"discounted_cash":783.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":920,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":621,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":977.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1035,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":782,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":736,"methodology":"fee schedule"}]}]},{"description":"EXC.BEN.LESN.OTHR .6-1.0 FACE","code_information":[{"code":"11441","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":374.33,"maximum":1092.5,"gross_charge":1150,"discounted_cash":783.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":920,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":644,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":977.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1035,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":460,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":374.33,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC <2.5CM SCLP-HD-BDY","code_information":[{"code":"12001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":300.78,"maximum":529.15,"gross_charge":557,"discounted_cash":379.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":445.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":473.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":501.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":356.48,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC <2.5CM SCLP-HD-BDY","code_information":[{"code":"12001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":181.31,"maximum":529.15,"gross_charge":557,"discounted_cash":379.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":445.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":311.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":473.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":501.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":222.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":211.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":181.31,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 2.6-7.5CM SCLP-HD-BDY","code_information":[{"code":"12002","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":316.98,"maximum":557.65,"gross_charge":587,"discounted_cash":399.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":469.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":498.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":528.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":399.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":375.68,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 2.6-7.5CM SCLP-HD-BDY","code_information":[{"code":"12002","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":191.07,"maximum":557.65,"gross_charge":587,"discounted_cash":399.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":469.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":328.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":498.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":528.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":234.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":223.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":191.07,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC7.6-12.5CM SCLP-HD-BDY","code_information":[{"code":"12004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":351.54,"maximum":618.45,"gross_charge":651,"discounted_cash":443.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":520.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":553.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":585.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":442.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC7.6-12.5CM SCLP-HD-BDY","code_information":[{"code":"12004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":211.91,"maximum":618.45,"gross_charge":651,"discounted_cash":443.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":520.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":364.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":553.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":585.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":260.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":211.91,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 12.6-20CM SCLP-HD-BDY","code_information":[{"code":"12005","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":402.3,"maximum":707.75,"gross_charge":745,"discounted_cash":507.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":402.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":633.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":670.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":506.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.8,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 12.6-20CM SCLP-HD-BDY","code_information":[{"code":"12005","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":242.5,"maximum":707.75,"gross_charge":745,"discounted_cash":507.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":417.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":633.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":670.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":298,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":707.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.5,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 20.1-30CM SCLP-HD-BDY","code_information":[{"code":"12006","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":440.1,"maximum":774.25,"gross_charge":815,"discounted_cash":555.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":652,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":692.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":733.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":554.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":521.6,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 20.1-30CM SCLP-HD-BDY","code_information":[{"code":"12006","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":265.29,"maximum":774.25,"gross_charge":815,"discounted_cash":555.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":652,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":692.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":733.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":326,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":265.29,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC >30CM SCLP-HD-BDY","code_information":[{"code":"12007","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":484.38,"maximum":852.15,"gross_charge":897,"discounted_cash":611.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":717.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":484.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":762.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":807.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":609.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":574.08,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC >30CM SCLP-HD-BDY","code_information":[{"code":"12007","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":291.98,"maximum":852.15,"gross_charge":897,"discounted_cash":611.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":717.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":502.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":762.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":807.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":358.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":852.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":340.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":291.98,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC <2.5CM FACE-EAR","code_information":[{"code":"12011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":265.68,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC <2.5CM FACE-EAR","code_information":[{"code":"12011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":160.15,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":160.15,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 2.6-5.0CM FACE-EAR","code_information":[{"code":"12013","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":289.44,"maximum":509.2,"gross_charge":536,"discounted_cash":365.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":289.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":455.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":364.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":343.04,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 2.6-5.0CM FACE-EAR","code_information":[{"code":"12013","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":174.47,"maximum":509.2,"gross_charge":536,"discounted_cash":365.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":455.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":509.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":174.47,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 5.1-7.5CM FACE-EAR","code_information":[{"code":"12014","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":321.3,"maximum":565.25,"gross_charge":595,"discounted_cash":405.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":476,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":505.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":404.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 5.1-7.5CM FACE-EAR","code_information":[{"code":"12014","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":193.68,"maximum":565.25,"gross_charge":595,"discounted_cash":405.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":476,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":505.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":193.68,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 7.6-12.5CM FACE-EAR","code_information":[{"code":"12015","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":353.16,"maximum":621.3,"gross_charge":654,"discounted_cash":445.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":353.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":418.56,"methodology":"fee schedule"}]}]},{"description":"SMPL LAC 7.6-12.5CM FACE-EAR","code_information":[{"code":"12015","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":212.88,"maximum":621.3,"gross_charge":654,"discounted_cash":445.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":366.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.88,"methodology":"fee schedule"}]}]},{"description":"SUPERFCAL TX WND DEHSCNCE SMPL","code_information":[{"code":"12020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":565.38,"maximum":994.65,"gross_charge":1047,"discounted_cash":713.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":837.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":565.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":889.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":942.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":711.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":670.08,"methodology":"fee schedule"}]}]},{"description":"SUPERFCAL TX WND DEHSCNCE SMPL","code_information":[{"code":"12020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":340.8,"maximum":994.65,"gross_charge":1047,"discounted_cash":713.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":837.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":586.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":889.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":942.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":397.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":340.8,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM SC-TK-EXTRM","code_information":[{"code":"12031","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":370.44,"maximum":651.7,"gross_charge":686,"discounted_cash":467.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":548.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":466.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM SC-TK-EXTRM","code_information":[{"code":"12031","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":223.3,"maximum":651.7,"gross_charge":686,"discounted_cash":467.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":548.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":223.3,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-7.5CM SC-TK-EXTM","code_information":[{"code":"12032","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":387.18,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":387.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-7.5CM SC-TK-EXTM","code_information":[{"code":"12032","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":233.39,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":233.39,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM SC-TK-EXT","code_information":[{"code":"12034","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":406.08,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":511.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":481.28,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM SC-TK-EXT","code_information":[{"code":"12034","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":244.78,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":244.78,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 12.6-20CM SC-TK-EXTM","code_information":[{"code":"12035","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":446.04,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":446.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":561.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":528.64,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 12.6-20CM SC-TK-EXTM","code_information":[{"code":"12035","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.87,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":462.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":330.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":313.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":268.87,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 20.1>30CM SC-TK-EXTM","code_information":[{"code":"12036","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":489.78,"maximum":861.65,"gross_charge":907,"discounted_cash":617.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":725.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":816.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":616.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.48,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 20.1>30CM SC-TK-EXTM","code_information":[{"code":"12036","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":295.23,"maximum":861.65,"gross_charge":907,"discounted_cash":617.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":725.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":816.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":362.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":344.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":295.23,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM NK-HD-FT-EXGN","code_information":[{"code":"12041","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":353.7,"maximum":622.25,"gross_charge":655,"discounted_cash":446.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":524,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":353.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":556.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":589.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":445.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":419.2,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM NK-HD-FT-EXGN","code_information":[{"code":"12041","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":213.21,"maximum":622.25,"gross_charge":655,"discounted_cash":446.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":524,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":366.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":556.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":589.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":262,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":213.21,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-7.5CM N-H-FT-EXG","code_information":[{"code":"12042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":369.36,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":465.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437.76,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-7.5CM N-H-FT-EXG","code_information":[{"code":"12042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM N-H-FT-EX","code_information":[{"code":"12044","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":406.08,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":511.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":481.28,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM N-H-FT-EX","code_information":[{"code":"12044","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":244.78,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":244.78,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 12.6-20CM N-H-FT-EXG","code_information":[{"code":"12045","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":446.04,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":446.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":561.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":528.64,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 12.6-20CM N-H-FT-EXG","code_information":[{"code":"12045","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.87,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":462.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":330.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":313.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":268.87,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM FC-ER-EYLD","code_information":[{"code":"12051","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":336.42,"maximum":591.85,"gross_charge":623,"discounted_cash":424.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":498.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":336.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":529.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":560.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":423.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":398.72,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC <2.5CM FC-ER-EYLD","code_information":[{"code":"12051","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":202.79,"maximum":591.85,"gross_charge":623,"discounted_cash":424.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":498.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":348.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":529.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":560.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":249.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":591.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":202.79,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-5.0CM FC-ER-EYLD","code_information":[{"code":"12052","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":369.36,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":465.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437.76,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 2.6-5.0CM FC-ER-EYLD","code_information":[{"code":"12052","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 5.1-7.5CM FC-ER-EYLD","code_information":[{"code":"12053","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":406.08,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":511.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":481.28,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 5.1-7.5CM FC-ER-EYLD","code_information":[{"code":"12053","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":244.78,"maximum":714.4,"gross_charge":752,"discounted_cash":512.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":601.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":639.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":714.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":244.78,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM F-ER-EYLD","code_information":[{"code":"12054","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":446.04,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":446.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":561.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":528.64,"methodology":"fee schedule"}]}]},{"description":"INTMD LAC 7.6-12.5CM F-ER-EYLD","code_information":[{"code":"12054","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.87,"maximum":784.7,"gross_charge":826,"discounted_cash":562.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":462.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":702.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":743.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":330.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":784.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":313.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":268.87,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM TRUNK","code_information":[{"code":"13100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1172.88,"maximum":2063.4,"gross_charge":2172,"discounted_cash":1479.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1737.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1846.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1954.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1476.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1390.08,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM TRUNK","code_information":[{"code":"13100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":706.99,"maximum":2063.4,"gross_charge":2172,"discounted_cash":1479.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1737.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1846.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1954.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":868.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":825.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":706.99,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM TRUNK","code_information":[{"code":"13101","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":662.58,"maximum":1165.65,"gross_charge":1227,"discounted_cash":835.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":981.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":662.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":834.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":785.28,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM TRUNK","code_information":[{"code":"13101","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":399.39,"maximum":1165.65,"gross_charge":1227,"discounted_cash":835.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":981.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":687.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":490.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":466.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":399.39,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< TRUNK","code_information":[{"code":"13102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":471.96,"maximum":830.3,"gross_charge":874,"discounted_cash":595.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":699.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":471.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":786.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":594.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":559.36,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< TRUNK","code_information":[{"code":"13102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":284.49,"maximum":830.3,"gross_charge":874,"discounted_cash":595.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":699.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":786.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":332.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":284.49,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM SC-AM-LG","code_information":[{"code":"13120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":413.64,"maximum":727.7,"gross_charge":766,"discounted_cash":521.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":413.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":651.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":689.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":490.24,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM SC-AM-LG","code_information":[{"code":"13120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":249.34,"maximum":727.7,"gross_charge":766,"discounted_cash":521.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":651.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":689.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":249.34,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM SC-AM-LG","code_information":[{"code":"13121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":550.26,"maximum":968.05,"gross_charge":1019,"discounted_cash":694.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":815.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":550.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":866.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":917.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":692.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":652.16,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM SC-AM-LG","code_information":[{"code":"13121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":331.69,"maximum":968.05,"gross_charge":1019,"discounted_cash":694.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":815.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":570.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":866.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":917.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":407.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":331.69,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< SC-AM-LG","code_information":[{"code":"13122","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":369.36,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":465.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437.76,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< SC-AM-LG","code_information":[{"code":"13122","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":649.8,"gross_charge":684,"discounted_cash":465.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM FC-NK-HN-F","code_information":[{"code":"13131","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":466.56,"maximum":820.8,"gross_charge":864,"discounted_cash":588.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":691.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":466.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":552.96,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM FC-NK-HN-F","code_information":[{"code":"13131","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.24,"maximum":820.8,"gross_charge":864,"discounted_cash":588.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":691.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":483.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":820.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":281.24,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM FC-NK-HN-F","code_information":[{"code":"13132","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":691.74,"maximum":1216.95,"gross_charge":1281,"discounted_cash":872.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":691.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1088.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1152.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":871.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":819.84,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM FC-NK-HN-F","code_information":[{"code":"13132","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":416.97,"maximum":1216.95,"gross_charge":1281,"discounted_cash":872.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":717.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1088.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1152.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":512.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":486.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":416.97,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< FH/CC/N/F","code_information":[{"code":"13133","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":387.18,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":387.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC ADDL 5CM< FH/CC/N/F","code_information":[{"code":"13133","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":233.39,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":233.39,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM LP-NS-ER-E","code_information":[{"code":"13151","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":602.64,"maximum":1060.2,"gross_charge":1116,"discounted_cash":760.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":602.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":948.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":758.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":714.24,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 1.1-2.5CM LP-NS-ER-E","code_information":[{"code":"13151","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":363.26,"maximum":1060.2,"gross_charge":1116,"discounted_cash":760.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":948.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":446.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":363.26,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM LP-NS-ER-E","code_information":[{"code":"13152","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":724.14,"maximum":1273.95,"gross_charge":1341,"discounted_cash":913.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":724.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":911.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":858.24,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC 2.6-7.5CM LP-NS-ER-E","code_information":[{"code":"13152","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":436.5,"maximum":1273.95,"gross_charge":1341,"discounted_cash":913.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":750.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":536.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1273.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":509.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":436.5,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC EA.ADDL 5CM L-N-E-E","code_information":[{"code":"13153","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":574.02,"maximum":1009.85,"gross_charge":1063,"discounted_cash":724.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":850.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":574.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":956.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":722.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":680.32,"methodology":"fee schedule"}]}]},{"description":"CMPLX LAC EA.ADDL 5CM L-N-E-E","code_information":[{"code":"13153","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":346.01,"maximum":1009.85,"gross_charge":1063,"discounted_cash":724.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":850.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":903.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":956.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":425.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":403.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":346.01,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/LG 1ST25SQCM","code_information":[{"code":"15271","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1877.04,"maximum":3302.2,"gross_charge":3476,"discounted_cash":2368.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2780.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2954.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3128.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2363.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2224.64,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/LG 1ST25SQCM","code_information":[{"code":"15271","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1131.44,"maximum":3302.2,"gross_charge":3476,"discounted_cash":2368.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2780.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1946.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2954.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3128.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1390.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1320.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1131.44,"methodology":"fee schedule"}]}]},{"description":"WC APP SKN TRK/ARM/LG EA25SQCM","code_information":[{"code":"15272","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":826.2,"maximum":1453.5,"gross_charge":1530,"discounted_cash":1042.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1040.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":979.2,"methodology":"fee schedule"}]}]},{"description":"WC APP SKN TRK/ARM/LG EA25SQCM","code_information":[{"code":"15272","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":498.02,"maximum":1453.5,"gross_charge":1530,"discounted_cash":1042.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":498.02,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/L 1ST100SQCM","code_information":[{"code":"15273","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2740.5,"maximum":4821.25,"gross_charge":5075,"discounted_cash":3457.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4060,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4567.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3451,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3248,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/L 1ST100SQCM","code_information":[{"code":"15273","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1651.92,"maximum":4821.25,"gross_charge":5075,"discounted_cash":3457.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4060,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2842,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4567.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2030,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1928.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1651.92,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/LG EA100SQCM","code_information":[{"code":"15274","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1201.5,"maximum":2113.75,"gross_charge":2225,"discounted_cash":1515.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1201.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1513,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1424,"methodology":"fee schedule"}]}]},{"description":"WC APPSKN TRK/ARM/LG EA100SQCM","code_information":[{"code":"15274","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":724.24,"maximum":2113.75,"gross_charge":2225,"discounted_cash":1515.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1246,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":890,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":845.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":724.24,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G 1ST25SQCM","code_information":[{"code":"15275","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1745.82,"maximum":3071.35,"gross_charge":3233,"discounted_cash":2202.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2748.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2909.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2069.12,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G 1ST25SQCM","code_information":[{"code":"15275","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1052.35,"maximum":3071.35,"gross_charge":3233,"discounted_cash":2202.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1810.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2748.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2909.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1293.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1228.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1052.35,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G EA 25SQCM","code_information":[{"code":"15276","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":826.2,"maximum":1453.5,"gross_charge":1530,"discounted_cash":1042.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1040.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":979.2,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G EA 25SQCM","code_information":[{"code":"15276","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":498.02,"maximum":1453.5,"gross_charge":1530,"discounted_cash":1042.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":498.02,"methodology":"fee schedule"}]}]},{"description":"WC APPSKIN HD/F/H/G 1ST100SQCM","code_information":[{"code":"15277","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2740.5,"maximum":4821.25,"gross_charge":5075,"discounted_cash":3457.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4060,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4567.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3451,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3248,"methodology":"fee schedule"}]}]},{"description":"WC APPSKIN HD/F/H/G 1ST100SQCM","code_information":[{"code":"15277","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1651.92,"maximum":4821.25,"gross_charge":5075,"discounted_cash":3457.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4060,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2842,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4567.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2030,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4821.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1928.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1651.92,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G EA100SQCM","code_information":[{"code":"15278","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1201.5,"maximum":2113.75,"gross_charge":2225,"discounted_cash":1515.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1201.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1513,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1424,"methodology":"fee schedule"}]}]},{"description":"WC APP SKIN HD/F/H/G EA100SQCM","code_information":[{"code":"15278","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":724.24,"maximum":2113.75,"gross_charge":2225,"discounted_cash":1515.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1246,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":890,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":845.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":724.24,"methodology":"fee schedule"}]}]},{"description":"BURN SM 1ST DEGREE W/LOCAL TX","code_information":[{"code":"16000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":135,"maximum":237.5,"gross_charge":250,"discounted_cash":170.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":212.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160,"methodology":"fee schedule"}]}]},{"description":"BURN SM 1ST DEGREE W/LOCAL TX","code_information":[{"code":"16000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":81.38,"maximum":237.5,"gross_charge":250,"discounted_cash":170.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":212.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.38,"methodology":"fee schedule"}]}]},{"description":"BURN SM 1-2 DEGREE W/O ANES","code_information":[{"code":"16020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":192.24,"maximum":338.2,"gross_charge":356,"discounted_cash":242.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":284.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":302.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":320.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":227.84,"methodology":"fee schedule"}]}]},{"description":"BURN SM 1-2 DEGREE W/O ANES","code_information":[{"code":"16020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":115.88,"maximum":338.2,"gross_charge":356,"discounted_cash":242.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":284.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":302.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":320.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":142.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":115.88,"methodology":"fee schedule"}]}]},{"description":"BURN MED 1-2 DEGREE W/O ANES","code_information":[{"code":"16025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":234.36,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":234.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.76,"methodology":"fee schedule"}]}]},{"description":"BURN MED 1-2 DEGREE W/O ANES","code_information":[{"code":"16025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.27,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":141.27,"methodology":"fee schedule"}]}]},{"description":"BURN LRG 1-2 DEGREE W/O ANES","code_information":[{"code":"16030","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":284.04,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336.64,"methodology":"fee schedule"}]}]},{"description":"BURN LRG 1-2 DEGREE W/O ANES","code_information":[{"code":"16030","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":171.22,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.22,"methodology":"fee schedule"}]}]},{"description":"CHEMICAL CAUT.GRANULTN TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":116.1,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"}]}]},{"description":"CHEMICAL CAUT.GRANULTN TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":69.99,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.99,"methodology":"fee schedule"}]}]},{"description":"WC CHEMICAL CAUTERY TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":116.1,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"}]}]},{"description":"WC CHEMICAL CAUTERY TISSUE","code_information":[{"code":"17250","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":69.99,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.99,"methodology":"fee schedule"}]}]},{"description":"INC.PUNCTR ASPR BRST ADDL CYST","code_information":[{"code":"19001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":432.54,"maximum":760.95,"gross_charge":801,"discounted_cash":545.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":640.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":432.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":680.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":720.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":544.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"}]}]},{"description":"INC.PUNCTR ASPR BRST ADDL CYST","code_information":[{"code":"19001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":260.73,"maximum":760.95,"gross_charge":801,"discounted_cash":545.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":640.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":448.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":680.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":720.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":320.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":760.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":260.73,"methodology":"fee schedule"}]}]},{"description":"INJ.F/MAMMARY DUCT/GALACTOGRAM","code_information":[{"code":"19030","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":294.3,"maximum":517.75,"gross_charge":545,"discounted_cash":371.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":463.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":490.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":370.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.8,"methodology":"fee schedule"}]}]},{"description":"INJ.F/MAMMARY DUCT/GALACTOGRAM","code_information":[{"code":"19030","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":177.4,"maximum":517.75,"gross_charge":545,"discounted_cash":371.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":463.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":490.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":177.4,"methodology":"fee schedule"}]}]},{"description":"BREAST BIOPSY PERCUTANEOUS","code_information":[{"code":"19100","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":785.16,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":785.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":988.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":930.56,"methodology":"fee schedule"}]}]},{"description":"BREAST BIOPSY PERCUTANEOUS","code_information":[{"code":"19100","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":473.28,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":581.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":552.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":473.28,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BREAST 1ST LSN MAMMO","code_information":[{"code":"19281","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":588.6,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":697.6,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BREAST 1ST LSN MAMMO","code_information":[{"code":"19281","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":354.8,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":354.8,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN MAM","code_information":[{"code":"19282","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":594.54,"maximum":1045.95,"gross_charge":1101,"discounted_cash":750.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":880.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":594.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":935.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":990.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":748.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":704.64,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN MAM","code_information":[{"code":"19282","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":358.38,"maximum":1045.95,"gross_charge":1101,"discounted_cash":750.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":880.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":616.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":935.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":990.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":440.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":418.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":358.38,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN STRCTC","code_information":[{"code":"19283","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":2021.76,"maximum":3556.8,"gross_charge":3744,"discounted_cash":2550.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2995.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3182.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3369.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2545.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2396.16,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN STRCTC","code_information":[{"code":"19283","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":1218.68,"maximum":3556.8,"gross_charge":3744,"discounted_cash":2550.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2995.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2096.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3182.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3369.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1497.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3556.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1422.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1218.68,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN STR","code_information":[{"code":"19284","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":977.4,"maximum":1719.5,"gross_charge":1810,"discounted_cash":1233.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1448,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":977.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1538.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1629,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1158.4,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN STR","code_information":[{"code":"19284","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":589.16,"maximum":1719.5,"gross_charge":1810,"discounted_cash":1233.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1448,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1538.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1629,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":724,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":589.16,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN W/US","code_information":[{"code":"19285","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":902.34,"maximum":1587.45,"gross_charge":1671,"discounted_cash":1138.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":902.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1420.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1503.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1069.44,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN W/US","code_information":[{"code":"19285","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":543.92,"maximum":1587.45,"gross_charge":1671,"discounted_cash":1138.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":935.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1420.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1503.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":668.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":634.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":543.92,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN W/U","code_information":[{"code":"19286","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":640.98,"maximum":1127.65,"gross_charge":1187,"discounted_cash":808.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":949.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":640.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":807.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":759.68,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST EA.ADDL LSN W/U","code_information":[{"code":"19286","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":386.37,"maximum":1127.65,"gross_charge":1187,"discounted_cash":808.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":949.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":664.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":474.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":451.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":386.37,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN W/MRI","code_information":[{"code":"19287","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":401.76,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":505.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.16,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST 1ST LSN W/MRI","code_information":[{"code":"19287","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":242.18,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.18,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST ADDL LSN W/MRI","code_information":[{"code":"19288","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":182.52,"maximum":321.1,"gross_charge":338,"discounted_cash":230.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":270.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":182.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":287.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":304.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.32,"methodology":"fee schedule"}]}]},{"description":"PERQ DEVC BRST ADDL LSN W/MRI","code_information":[{"code":"19288","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":110.02,"maximum":321.1,"gross_charge":338,"discounted_cash":230.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":270.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":287.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":304.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":110.02,"methodology":"fee schedule"}]}]},{"description":"EXPLORTN PENTRTNG WOUND-NECK","code_information":[{"code":"20100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1013.04,"maximum":1782.2,"gross_charge":1876,"discounted_cash":1278.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1500.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1594.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1275.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1200.64,"methodology":"fee schedule"}]}]},{"description":"EXPLORTN PENTRTNG WOUND-NECK","code_information":[{"code":"20100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":610.64,"maximum":1782.2,"gross_charge":1876,"discounted_cash":1278.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1500.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1050.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1594.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1688.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":750.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1782.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":712.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":610.64,"methodology":"fee schedule"}]}]},{"description":"EXPLORTN PENTRTNG WOUND-ABDOMN","code_information":[{"code":"20102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1523.88,"maximum":2680.9,"gross_charge":2822,"discounted_cash":1922.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1523.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2398.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2539.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1918.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1806.08,"methodology":"fee schedule"}]}]},{"description":"EXPLORTN PENTRTNG WOUND-ABDOMN","code_information":[{"code":"20102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":918.57,"maximum":2680.9,"gross_charge":2822,"discounted_cash":1922.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2398.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2539.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2680.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1072.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":918.57,"methodology":"fee schedule"}]}]},{"description":"EXPLRTN PENTETRAT WOUND EXTRMY","code_information":[{"code":"20103","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":766.26,"maximum":1348.05,"gross_charge":1419,"discounted_cash":966.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":766.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":964.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":908.16,"methodology":"fee schedule"}]}]},{"description":"EXPLRTN PENTETRAT WOUND EXTRMY","code_information":[{"code":"20103","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":461.89,"maximum":1348.05,"gross_charge":1419,"discounted_cash":966.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":794.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":567.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":539.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":461.89,"methodology":"fee schedule"}]}]},{"description":"BIOPSY MUSCLE PERQ NEEDLE","code_information":[{"code":"20206","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1661.04,"maximum":2922.2,"gross_charge":3076,"discounted_cash":2095.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1661.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2614.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2768.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1968.64,"methodology":"fee schedule"}]}]},{"description":"BIOPSY MUSCLE PERQ NEEDLE","code_information":[{"code":"20206","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1001.24,"maximum":2922.2,"gross_charge":3076,"discounted_cash":2095.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2614.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2768.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2922.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1168.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1001.24,"methodology":"fee schedule"}]}]},{"description":"REMVL FB MUSCLE - SIMPLE","code_information":[{"code":"20520","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":785.16,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":785.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":988.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":930.56,"methodology":"fee schedule"}]}]},{"description":"REMVL FB MUSCLE - SIMPLE","code_information":[{"code":"20520","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":473.28,"maximum":1381.3,"gross_charge":1454,"discounted_cash":990.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":581.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":552.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":473.28,"methodology":"fee schedule"}]}]},{"description":"TRIGGER POINT INJ. S/M 1-2MUSC","code_information":[{"code":"20552","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":357.48,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":357.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.68,"methodology":"fee schedule"}]}]},{"description":"TRIGGER POINT INJ. S/M 1-2MUSC","code_information":[{"code":"20552","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":215.49,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":215.49,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/SM W/O","code_information":[{"code":"20600","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":352.62,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":417.92,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/SM W/O","code_information":[{"code":"20600","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":212.56,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.56,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS SM JNT W/O UG","code_information":[{"code":"20600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":352.62,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":417.92,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS SM JNT W/O UG","code_information":[{"code":"20600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":212.56,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.56,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/SM W/GUD","code_information":[{"code":"20604","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":866.7,"maximum":1524.75,"gross_charge":1605,"discounted_cash":1093.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1284,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":866.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1091.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1027.2,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/SM W/GUD","code_information":[{"code":"20604","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":522.43,"maximum":1524.75,"gross_charge":1605,"discounted_cash":1093.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1284,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":898.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":642,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1524.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":609.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":522.43,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/INT W/O","code_information":[{"code":"20605","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":423.36,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":627.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":533.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/INT W/O","code_information":[{"code":"20605","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":255.2,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":627.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":297.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS - INTRMDT JONT","code_information":[{"code":"20605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":423.36,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":627.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":533.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS - INTRMDT JONT","code_information":[{"code":"20605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":255.2,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":627.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":297.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/INT W/GD","code_information":[{"code":"20606","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":927.18,"maximum":1631.15,"gross_charge":1717,"discounted_cash":1169.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":927.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1545.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1098.88,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/INT W/GD","code_information":[{"code":"20606","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":558.89,"maximum":1631.15,"gross_charge":1717,"discounted_cash":1169.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":961.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1545.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":686.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":652.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":558.89,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/LG W/O","code_information":[{"code":"20610","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":503.82,"maximum":886.35,"gross_charge":933,"discounted_cash":635.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":746.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":793.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":839.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":634.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.12,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/LG W/O","code_information":[{"code":"20610","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":303.7,"maximum":886.35,"gross_charge":933,"discounted_cash":635.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":746.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":522.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":793.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":839.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":373.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":354.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":303.7,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS - MAJOR JOINT","code_information":[{"code":"20610","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":503.82,"maximum":886.35,"gross_charge":933,"discounted_cash":635.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":746.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":793.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":839.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":634.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.12,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENTESIS - MAJOR JOINT","code_information":[{"code":"20610","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":303.7,"maximum":886.35,"gross_charge":933,"discounted_cash":635.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":746.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":522.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":793.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":839.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":373.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":886.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":354.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":303.7,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/LG W/GUD","code_information":[{"code":"20611","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1007.64,"maximum":1772.7,"gross_charge":1866,"discounted_cash":1271.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1268.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1194.24,"methodology":"fee schedule"}]}]},{"description":"ARTHRCNTS ASP/INJ JNT/LG W/GUD","code_information":[{"code":"20611","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":607.39,"maximum":1772.7,"gross_charge":1866,"discounted_cash":1271.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":746.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1772.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":709.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":607.39,"methodology":"fee schedule"}]}]},{"description":"CLSD TX NASAL FX W/O STABLZTN","code_information":[{"code":"21315","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1344.06,"maximum":2364.55,"gross_charge":2489,"discounted_cash":1695.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1344.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2115.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2240.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1592.96,"methodology":"fee schedule"}]}]},{"description":"CLSD TX NASAL FX W/O STABLZTN","code_information":[{"code":"21315","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":810.17,"maximum":2364.55,"gross_charge":2489,"discounted_cash":1695.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2115.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2240.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":995.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":945.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":810.17,"methodology":"fee schedule"}]}]},{"description":"BIOPSY-SOFT TISSUE NECK/THORAX","code_information":[{"code":"21550","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1185.84,"maximum":2086.2,"gross_charge":2196,"discounted_cash":1496.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1756.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1185.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1866.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1976.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1405.44,"methodology":"fee schedule"}]}]},{"description":"BIOPSY-SOFT TISSUE NECK/THORAX","code_information":[{"code":"21550","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":714.8,"maximum":2086.2,"gross_charge":2196,"discounted_cash":1496.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1756.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1229.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1866.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1976.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":878.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":834.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":714.8,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC.SHLDR ARTHGRHY/CT/MRI","code_information":[{"code":"23350","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":340.74,"maximum":599.45,"gross_charge":631,"discounted_cash":429.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":504.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":340.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":536.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":567.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":429.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":403.84,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC.SHLDR ARTHGRHY/CT/MRI","code_information":[{"code":"23350","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":205.4,"maximum":599.45,"gross_charge":631,"discounted_cash":429.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":504.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":353.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":536.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":567.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":252.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":599.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":205.4,"methodology":"fee schedule"}]}]},{"description":"CLSD TX SHDLR DISLC W/FX W/MAN","code_information":[{"code":"23665","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":912.6,"maximum":1605.5,"gross_charge":1690,"discounted_cash":1151.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":912.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1521,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1149.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1081.6,"methodology":"fee schedule"}]}]},{"description":"CLSD TX SHDLR DISLC W/FX W/MAN","code_information":[{"code":"23665","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":550.1,"maximum":1605.5,"gross_charge":1690,"discounted_cash":1151.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":946.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1521,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":676,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1605.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":642.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":550.1,"methodology":"fee schedule"}]}]},{"description":"I&D UPPER ARM/ELBOW AREA-BURSA","code_information":[{"code":"23931","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1358.64,"maximum":2390.2,"gross_charge":2516,"discounted_cash":1714.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1358.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2138.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2264.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1710.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1610.24,"methodology":"fee schedule"}]}]},{"description":"I&D UPPER ARM/ELBOW AREA-BURSA","code_information":[{"code":"23931","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":818.96,"maximum":2390.2,"gross_charge":2516,"discounted_cash":1714.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2138.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2264.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":956.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":818.96,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2160.54,"maximum":3800.95,"gross_charge":4001,"discounted_cash":2725.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2160.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3400.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3600.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2560.64,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1302.33,"maximum":3800.95,"gross_charge":4001,"discounted_cash":2725.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2240.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3400.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3600.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1600.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3800.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1520.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1302.33,"methodology":"fee schedule"}]}]},{"description":"CLSD TX HUMERUS FX W/MAN","code_information":[{"code":"24565","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":909.36,"maximum":1599.8,"gross_charge":1684,"discounted_cash":1147.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":909.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1077.76,"methodology":"fee schedule"}]}]},{"description":"CLSD TX HUMERUS FX W/MAN","code_information":[{"code":"24565","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":548.15,"maximum":1599.8,"gross_charge":1684,"discounted_cash":1147.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":943.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":673.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":548.15,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC.WRIST ARTHROGRAPHY","code_information":[{"code":"25246","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":360.72,"maximum":634.6,"gross_charge":668,"discounted_cash":455.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":534.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":360.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":567.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":601.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":454.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":427.52,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC.WRIST ARTHROGRAPHY","code_information":[{"code":"25246","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":217.44,"maximum":634.6,"gross_charge":668,"discounted_cash":455.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":534.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":374.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":567.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":601.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":267.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":217.44,"methodology":"fee schedule"}]}]},{"description":"DRNAGE-FNGR ABSCS COMPLTD-LTH","code_information":[{"code":"26011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":942.84,"maximum":1658.7,"gross_charge":1746,"discounted_cash":1189.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":942.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1117.44,"methodology":"fee schedule"}]}]},{"description":"DRNAGE-FNGR ABSCS COMPLTD-LTH","code_information":[{"code":"26011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":568.33,"maximum":1658.7,"gross_charge":1746,"discounted_cash":1189.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":977.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":698.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":663.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":568.33,"methodology":"fee schedule"}]}]},{"description":"ER TX FX PHALANX PROX W/MAN OP","code_information":[{"code":"26735","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1985.58,"maximum":3493.15,"gross_charge":3677,"discounted_cash":2504.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2941.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3125.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2500.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2353.28,"methodology":"fee schedule"}]}]},{"description":"ER TX FX PHALANX PROX W/MAN OP","code_information":[{"code":"26735","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1196.87,"maximum":3493.15,"gross_charge":3677,"discounted_cash":2504.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2941.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2059.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3125.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3493.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1397.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1196.87,"methodology":"fee schedule"}]}]},{"description":"BX SOFT TISS PELVIS/HIP SPRFCL","code_information":[{"code":"27040","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1249.56,"maximum":2198.3,"gross_charge":2314,"discounted_cash":1576.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1851.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1249.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1966.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2082.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1573.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1480.96,"methodology":"fee schedule"}]}]},{"description":"BX SOFT TISS PELVIS/HIP SPRFCL","code_information":[{"code":"27040","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":753.21,"maximum":2198.3,"gross_charge":2314,"discounted_cash":1576.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1851.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1966.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2082.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":925.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2198.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":879.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":753.21,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC. HIP ARTHRHY/CT/MRI","code_information":[{"code":"27093","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":516.24,"maximum":908.2,"gross_charge":956,"discounted_cash":651.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":764.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":516.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":812.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":860.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":611.84,"methodology":"fee schedule"}]}]},{"description":"INJ.PROC. HIP ARTHRHY/CT/MRI","code_information":[{"code":"27093","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":311.18,"maximum":908.2,"gross_charge":956,"discounted_cash":651.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":764.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":535.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":812.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":860.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":908.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":363.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":311.18,"methodology":"fee schedule"}]}]},{"description":"COCCYGEAL FX CLSD TX(TAILBONE)","code_information":[{"code":"27200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":250.56,"maximum":440.8,"gross_charge":464,"discounted_cash":316.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":417.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":296.96,"methodology":"fee schedule"}]}]},{"description":"COCCYGEAL FX CLSD TX(TAILBONE)","code_information":[{"code":"27200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":151.04,"maximum":440.8,"gross_charge":464,"discounted_cash":316.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":417.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":185.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":176.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":151.04,"methodology":"fee schedule"}]}]},{"description":"CLSD TX ACETABULUM(HIP)W/O MAN","code_information":[{"code":"27220","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":385.02,"maximum":677.35,"gross_charge":713,"discounted_cash":485.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":641.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":484.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456.32,"methodology":"fee schedule"}]}]},{"description":"CLSD TX ACETABULUM(HIP)W/O MAN","code_information":[{"code":"27220","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":232.09,"maximum":677.35,"gross_charge":713,"discounted_cash":485.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":399.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":641.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":232.09,"methodology":"fee schedule"}]}]},{"description":"DRAIN THIGH/KNEE LESION","code_information":[{"code":"27301","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2019.06,"maximum":3552.05,"gross_charge":3739,"discounted_cash":2547.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2019.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3178.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3365.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2542.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2392.96,"methodology":"fee schedule"}]}]},{"description":"DRAIN THIGH/KNEE LESION","code_information":[{"code":"27301","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1217.05,"maximum":3552.05,"gross_charge":3739,"discounted_cash":2547.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2093.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3178.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3365.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1495.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3552.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1420.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1217.05,"methodology":"fee schedule"}]}]},{"description":"INJ PROC KNEE CT/MRI ARTHRGRHY","code_information":[{"code":"27369","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":343.44,"maximum":604.2,"gross_charge":636,"discounted_cash":433.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":343.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":540.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":572.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":432.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.04,"methodology":"fee schedule"}]}]},{"description":"INJ PROC KNEE CT/MRI ARTHRGRHY","code_information":[{"code":"27369","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":207.02,"maximum":604.2,"gross_charge":636,"discounted_cash":433.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":356.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":540.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":572.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":254.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":241.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":207.02,"methodology":"fee schedule"}]}]},{"description":"CLSD TX TIBIAL SHFT FX W/MANIP","code_information":[{"code":"27752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1090.8,"maximum":1919,"gross_charge":2020,"discounted_cash":1376.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1616,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1090.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1717,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1818,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1373.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1292.8,"methodology":"fee schedule"}]}]},{"description":"CLSD TX TIBIAL SHFT FX W/MANIP","code_information":[{"code":"27752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":657.51,"maximum":1919,"gross_charge":2020,"discounted_cash":1376.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1616,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1131.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1717,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1818,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":808,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1919,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":767.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":657.51,"methodology":"fee schedule"}]}]},{"description":"UNNA BOOT - APPLCTN PASTE BOOT","code_information":[{"code":"29580","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":143.1,"maximum":251.75,"gross_charge":265,"discounted_cash":180.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":212,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":225.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":238.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"}]}]},{"description":"UNNA BOOT - APPLCTN PASTE BOOT","code_information":[{"code":"29580","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":86.26,"maximum":251.75,"gross_charge":265,"discounted_cash":180.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":212,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":148.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":225.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":238.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"}]}]},{"description":"WC APPLY MULTLY COMPRS ARM/HND","code_information":[{"code":"29584","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":133.92,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.72,"methodology":"fee schedule"}]}]},{"description":"WC APPLY MULTLY COMPRS ARM/HND","code_information":[{"code":"29584","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":80.73,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":138.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"}]}]},{"description":"BSP CNTRL NASAL HEMORR SMPL","code_information":[{"code":"30901","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":258.12,"maximum":454.1,"gross_charge":478,"discounted_cash":325.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":382.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":406.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":430.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":325.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":305.92,"methodology":"fee schedule"}]}]},{"description":"BSP CNTRL NASAL HEMORR SMPL","code_information":[{"code":"30901","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":155.59,"maximum":454.1,"gross_charge":478,"discounted_cash":325.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":382.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":267.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":406.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":430.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":191.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":155.59,"methodology":"fee schedule"}]}]},{"description":"CNTRL POSTERIOR NASAL HEMR","code_information":[{"code":"30905","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":190.62,"maximum":335.35,"gross_charge":353,"discounted_cash":240.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":282.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":190.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":300.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":317.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":240.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.92,"methodology":"fee schedule"}]}]},{"description":"CNTRL POSTERIOR NASAL HEMR","code_information":[{"code":"30905","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":114.91,"maximum":335.35,"gross_charge":353,"discounted_cash":240.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":282.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":300.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":317.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":141.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":114.91,"methodology":"fee schedule"}]}]},{"description":"NASAL ENDOSCOPYDXUNI & BILAT","code_information":[{"code":"31231","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":200.34,"maximum":352.45,"gross_charge":371,"discounted_cash":252.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":200.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":315.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":252.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":237.44,"methodology":"fee schedule"}]}]},{"description":"NASAL ENDOSCOPYDXUNI & BILAT","code_information":[{"code":"31231","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":120.77,"maximum":352.45,"gross_charge":371,"discounted_cash":252.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":315.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":120.77,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACHEAL INTUBATION","code_information":[{"code":"31500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":578.88,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":728.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":686.08,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACHEAL INTUBATION","code_information":[{"code":"31500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"}]}]},{"description":"INTUBATION - RT ASSIST","code_information":[{"code":"31500","type":"CPT"},{"code":"0410","type":"RC"}],"standard_charges":[{"minimum":578.88,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":728.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":686.08,"methodology":"fee schedule"}]}]},{"description":"INTUBATION - RT ASSIST","code_information":[{"code":"31500","type":"CPT"},{"code":"0410","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"}]}]},{"description":"INTUBATION ENDOTRACH (NOT RT)","code_information":[{"code":"31500","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":578.88,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":728.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":686.08,"methodology":"fee schedule"}]}]},{"description":"INTUBATION ENDOTRACH (NOT RT)","code_information":[{"code":"31500","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":1018.4,"gross_charge":1072,"discounted_cash":730.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":911.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"}]}]},{"description":"INTUBTNENDOTRCHLER PROCD","code_information":[{"code":"31500","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":489.78,"maximum":861.65,"gross_charge":907,"discounted_cash":617.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":725.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":816.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":616.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":580.48,"methodology":"fee schedule"}]}]},{"description":"INTUBTNENDOTRCHLER PROCD","code_information":[{"code":"31500","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":295.23,"maximum":861.65,"gross_charge":907,"discounted_cash":617.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":725.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":816.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":362.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":861.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":344.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":295.23,"methodology":"fee schedule"}]}]},{"description":"LARYNGOSCOPY DIAGNOSTIC","code_information":[{"code":"31505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":135.54,"maximum":238.45,"gross_charge":251,"discounted_cash":171,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":135.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":213.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.64,"methodology":"fee schedule"}]}]},{"description":"LARYNGOSCOPY DIAGNOSTIC","code_information":[{"code":"31505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":81.71,"maximum":238.45,"gross_charge":251,"discounted_cash":171,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":213.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.71,"methodology":"fee schedule"}]}]},{"description":"LARYNGOSCOPY W/REMVL FB","code_information":[{"code":"31511","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":226.8,"maximum":399,"gross_charge":420,"discounted_cash":286.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":378,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":268.8,"methodology":"fee schedule"}]}]},{"description":"LARYNGOSCOPY W/REMVL FB","code_information":[{"code":"31511","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":136.71,"maximum":399,"gross_charge":420,"discounted_cash":286.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":378,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":136.71,"methodology":"fee schedule"}]}]},{"description":"TRACHEOSTOMY EMERG PROCD","code_information":[{"code":"31603","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":675,"maximum":1187.5,"gross_charge":1250,"discounted_cash":851.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":675,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1125,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"}]}]},{"description":"TRACHEOSTOMY EMERG PROCD","code_information":[{"code":"31603","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":406.88,"maximum":1187.5,"gross_charge":1250,"discounted_cash":851.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":700,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1125,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":500,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":406.88,"methodology":"fee schedule"}]}]},{"description":"DEEP NASOTRACHEAL SUCTIONING","code_information":[{"code":"31720","type":"CPT"},{"code":"0410","type":"RC"}],"standard_charges":[{"minimum":252.18,"maximum":443.65,"gross_charge":467,"discounted_cash":318.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":252.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":420.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.88,"methodology":"fee schedule"}]}]},{"description":"DEEP NASOTRACHEAL SUCTIONING","code_information":[{"code":"31720","type":"CPT"},{"code":"0410","type":"RC"}],"standard_charges":[{"minimum":152.01,"maximum":443.65,"gross_charge":467,"discounted_cash":318.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":261.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":420.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":152.01,"methodology":"fee schedule"}]}]},{"description":"EXC.BIOPSY PERCUT.NDLE-PLEURA","code_information":[{"code":"32400","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":930.42,"maximum":1636.85,"gross_charge":1723,"discounted_cash":1173.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":930.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1464.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1102.72,"methodology":"fee schedule"}]}]},{"description":"EXC.BIOPSY PERCUT.NDLE-PLEURA","code_information":[{"code":"32400","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":560.84,"maximum":1636.85,"gross_charge":1723,"discounted_cash":1173.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":964.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1464.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":689.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":654.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":560.84,"methodology":"fee schedule"}]}]},{"description":"BIOPSY LUNG/MEDIASTNM PERCTNUS","code_information":[{"code":"32408","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1540.08,"maximum":2709.4,"gross_charge":2852,"discounted_cash":1942.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2281.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1540.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2424.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2566.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1939.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1825.28,"methodology":"fee schedule"}]}]},{"description":"BIOPSY LUNG/MEDIASTNM PERCTNUS","code_information":[{"code":"32408","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":928.33,"maximum":2709.4,"gross_charge":2852,"discounted_cash":1942.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2281.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1597.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2424.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2566.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1140.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2709.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1083.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":928.33,"methodology":"fee schedule"}]}]},{"description":"INS TUN PLEURAL CATH W CUFF","code_information":[{"code":"32550","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2112.48,"maximum":3716.4,"gross_charge":3912,"discounted_cash":2665.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3129.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2112.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3325.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3520.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2503.68,"methodology":"fee schedule"}]}]},{"description":"INS TUN PLEURAL CATH W CUFF","code_information":[{"code":"32550","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1273.36,"maximum":3716.4,"gross_charge":3912,"discounted_cash":2665.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3129.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2190.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3325.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3520.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3716.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1486.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1273.36,"methodology":"fee schedule"}]}]},{"description":"BSP CHEST TUBE INSERTION","code_information":[{"code":"32551","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":615.6,"maximum":1083,"gross_charge":1140,"discounted_cash":776.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":912,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":969,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1026,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":729.6,"methodology":"fee schedule"}]}]},{"description":"BSP CHEST TUBE INSERTION","code_information":[{"code":"32551","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":371.07,"maximum":1083,"gross_charge":1140,"discounted_cash":776.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":912,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":969,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1026,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1083,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":433.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":371.07,"methodology":"fee schedule"}]}]},{"description":"OP THORACNTSIS/ASP WO IMAG","code_information":[{"code":"32554","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":653.94,"maximum":1150.45,"gross_charge":1211,"discounted_cash":824.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":968.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":653.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1089.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":823.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":775.04,"methodology":"fee schedule"}]}]},{"description":"OP THORACNTSIS/ASP WO IMAG","code_information":[{"code":"32554","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":394.19,"maximum":1150.45,"gross_charge":1211,"discounted_cash":824.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":968.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":678.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1089.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":484.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":460.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":394.19,"methodology":"fee schedule"}]}]},{"description":"OP THORACNTSIS/ASP W IMAG","code_information":[{"code":"32555","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1054.62,"maximum":1855.35,"gross_charge":1953,"discounted_cash":1330.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1054.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1660.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1328.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1249.92,"methodology":"fee schedule"}]}]},{"description":"OP THORACNTSIS/ASP W IMAG","code_information":[{"code":"32555","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":635.71,"maximum":1855.35,"gross_charge":1953,"discounted_cash":1330.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1660.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":781.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":742.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":635.71,"methodology":"fee schedule"}]}]},{"description":"PLEUR DRN W/INS CATH WO IMG","code_information":[{"code":"32556","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2002.32,"maximum":3522.6,"gross_charge":3708,"discounted_cash":2526.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2966.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3151.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3337.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2521.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2373.12,"methodology":"fee schedule"}]}]},{"description":"PLEUR DRN W/INS CATH WO IMG","code_information":[{"code":"32556","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1206.96,"maximum":3522.6,"gross_charge":3708,"discounted_cash":2526.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2966.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2076.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3151.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3337.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1483.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3522.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1409.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1206.96,"methodology":"fee schedule"}]}]},{"description":"CT GUIDED CHEST TUBE PLACEMENT","code_information":[{"code":"32557","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1785.24,"maximum":3140.7,"gross_charge":3306,"discounted_cash":2252.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2644.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1785.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2810.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2975.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2248.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2115.84,"methodology":"fee schedule"}]}]},{"description":"CT GUIDED CHEST TUBE PLACEMENT","code_information":[{"code":"32557","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1076.11,"maximum":3140.7,"gross_charge":3306,"discounted_cash":2252.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2644.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1851.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2810.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2975.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3140.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1256.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1076.11,"methodology":"fee schedule"}]}]},{"description":"INSRTN/REPLMNT HEART ELECTRODE","code_information":[{"code":"33210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3392.28,"maximum":5967.9,"gross_charge":6282,"discounted_cash":4279.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5025.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5339.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5653.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4271.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4020.48,"methodology":"fee schedule"}]}]},{"description":"INSRTN/REPLMNT HEART ELECTRODE","code_information":[{"code":"33210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2044.8,"maximum":5967.9,"gross_charge":6282,"discounted_cash":4279.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5025.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3517.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5339.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5653.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2512.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5967.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2387.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2044.8,"methodology":"fee schedule"}]}]},{"description":"MIDLINE CATHETER INSERT","code_information":[{"code":"36410","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":101.52,"maximum":178.6,"gross_charge":188,"discounted_cash":128.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":127.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.32,"methodology":"fee schedule"}]}]},{"description":"MIDLINE CATHETER INSERT","code_information":[{"code":"36410","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":61.2,"maximum":178.6,"gross_charge":188,"discounted_cash":128.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"}]}]},{"description":"COLLECTION BLD-VENIPUNCTURE","code_information":[{"code":"36415","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.06,"maximum":37.05,"gross_charge":39,"discounted_cash":26.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":31.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":33.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":35.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.96,"methodology":"fee schedule"}]}]},{"description":"COLLECTION BLD-VENIPUNCTURE","code_information":[{"code":"36415","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.1,"maximum":37.05,"gross_charge":39,"discounted_cash":26.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":31.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":33.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":35.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":37.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.7,"methodology":"fee schedule"}]}]},{"description":"HEEL/FINGER STICK","code_information":[{"code":"36416","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.98,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.68,"methodology":"fee schedule"}]}]},{"description":"HEEL/FINGER STICK","code_information":[{"code":"36416","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.05,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.05,"methodology":"fee schedule"}]}]},{"description":"OP ADMIN BLOOD TRANSFUSION","code_information":[{"code":"36430","type":"CPT"},{"code":"0391","type":"RC"}],"standard_charges":[{"minimum":792.72,"maximum":1394.6,"gross_charge":1468,"discounted_cash":1000.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":792.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1247.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":998.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":939.52,"methodology":"fee schedule"}]}]},{"description":"OP ADMIN BLOOD TRANSFUSION","code_information":[{"code":"36430","type":"CPT"},{"code":"0391","type":"RC"}],"standard_charges":[{"minimum":477.84,"maximum":1394.6,"gross_charge":1468,"discounted_cash":1000.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":822.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1247.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1394.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":557.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":477.84,"methodology":"fee schedule"}]}]},{"description":"CATH UMB VEIN DX/TX NEWBORN","code_information":[{"code":"36510","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":263.52,"maximum":463.6,"gross_charge":488,"discounted_cash":332.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":390.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":414.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":439.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":331.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":312.32,"methodology":"fee schedule"}]}]},{"description":"CATH UMB VEIN DX/TX NEWBORN","code_information":[{"code":"36510","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":158.85,"maximum":463.6,"gross_charge":488,"discounted_cash":332.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":390.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":273.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":414.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":439.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":158.85,"methodology":"fee schedule"}]}]},{"description":"BSP INSTRN CNTRL VNS NONTNL>5Y","code_information":[{"code":"36556","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1508.76,"maximum":2654.3,"gross_charge":2794,"discounted_cash":1903.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2235.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2374.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2514.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1899.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1788.16,"methodology":"fee schedule"}]}]},{"description":"BSP INSTRN CNTRL VNS NONTNL>5Y","code_information":[{"code":"36556","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":909.45,"maximum":2654.3,"gross_charge":2794,"discounted_cash":1903.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2235.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2374.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2514.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1061.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":909.45,"methodology":"fee schedule"}]}]},{"description":"INSRTN NON-TNLD C.I.C.V.C. 5>","code_information":[{"code":"36556","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1508.76,"maximum":2654.3,"gross_charge":2794,"discounted_cash":1903.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2235.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2374.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2514.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1899.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1788.16,"methodology":"fee schedule"}]}]},{"description":"INSRTN NON-TNLD C.I.C.V.C. 5>","code_information":[{"code":"36556","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":909.45,"maximum":2654.3,"gross_charge":2794,"discounted_cash":1903.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2235.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2374.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2514.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2654.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1061.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":909.45,"methodology":"fee schedule"}]}]},{"description":"INSRTN(CVP)CNTRL LN NONTUNL 5>","code_information":[{"code":"36556","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1075.14,"maximum":1891.45,"gross_charge":1991,"discounted_cash":1356.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1075.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1791.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1353.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1274.24,"methodology":"fee schedule"}]}]},{"description":"INSRTN(CVP)CNTRL LN NONTUNL 5>","code_information":[{"code":"36556","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":648.08,"maximum":1891.45,"gross_charge":1991,"discounted_cash":1356.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1791.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":796.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":756.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":648.08,"methodology":"fee schedule"}]}]},{"description":"INSERTION OF PICC/MCL LINE","code_information":[{"code":"36569","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1534.14,"maximum":2698.95,"gross_charge":2841,"discounted_cash":1935.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1931.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1818.24,"methodology":"fee schedule"}]}]},{"description":"INSERTION OF PICC/MCL LINE","code_information":[{"code":"36569","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":924.75,"maximum":2698.95,"gross_charge":2841,"discounted_cash":1935.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":924.75,"methodology":"fee schedule"}]}]},{"description":"BSP INSERTNOF PICC-IMG INCLD","code_information":[{"code":"36573","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1534.14,"maximum":2698.95,"gross_charge":2841,"discounted_cash":1935.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1931.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1818.24,"methodology":"fee schedule"}]}]},{"description":"BSP INSERTNOF PICC-IMG INCLD","code_information":[{"code":"36573","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":924.75,"maximum":2698.95,"gross_charge":2841,"discounted_cash":1935.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":924.75,"methodology":"fee schedule"}]}]},{"description":"INSERTION PICC LINE W IMG (ANE","code_information":[{"code":"36573","type":"CPT"},{"code":"0960","type":"RC"}],"standard_charges":[{"minimum":966.06,"maximum":1699.55,"gross_charge":1789,"discounted_cash":1218.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":966.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1520.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1610.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1144.96,"methodology":"fee schedule"}]}]},{"description":"INSERTION PICC LINE W IMG (ANE","code_information":[{"code":"36573","type":"CPT"},{"code":"0960","type":"RC"}],"standard_charges":[{"minimum":582.32,"maximum":1699.55,"gross_charge":1789,"discounted_cash":1218.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1001.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1520.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1610.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":715.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":679.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":582.32,"methodology":"fee schedule"}]}]},{"description":"INSERTION PICC/MCL LINE W/IMAG","code_information":[{"code":"36573","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1488.24,"maximum":2618.2,"gross_charge":2756,"discounted_cash":1877.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2204.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2342.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1874.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1763.84,"methodology":"fee schedule"}]}]},{"description":"INSERTION PICC/MCL LINE W/IMAG","code_information":[{"code":"36573","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":897.08,"maximum":2618.2,"gross_charge":2756,"discounted_cash":1877.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2204.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2342.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1102.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1047.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":897.08,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC/MCL LN W/O PORT","code_information":[{"code":"36589","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":673.38,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":847.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":798.08,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC/MCL LN W/O PORT","code_information":[{"code":"36589","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":405.9,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":698.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":498.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC/MCL LINE W/PORT","code_information":[{"code":"36590","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":848.34,"maximum":1492.45,"gross_charge":1571,"discounted_cash":1070.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":848.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1335.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1005.44,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC/MCL LINE W/PORT","code_information":[{"code":"36590","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":511.37,"maximum":1492.45,"gross_charge":1571,"discounted_cash":1070.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1335.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":628.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":596.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":511.37,"methodology":"fee schedule"}]}]},{"description":"REMOVAL PICC/MCL LINE W/PORT","code_information":[{"code":"36590","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":673.38,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":847.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":798.08,"methodology":"fee schedule"}]}]},{"description":"REMOVAL PICC/MCL LINE W/PORT","code_information":[{"code":"36590","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":405.9,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":698.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":498.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"}]}]},{"description":"REMVL TUNNLD CNTRL VENOUS CATH","code_information":[{"code":"36590","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":996.3,"maximum":1752.75,"gross_charge":1845,"discounted_cash":1256.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1476,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":996.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1568.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1660.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1254.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1180.8,"methodology":"fee schedule"}]}]},{"description":"REMVL TUNNLD CNTRL VENOUS CATH","code_information":[{"code":"36590","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":600.55,"maximum":1752.75,"gross_charge":1845,"discounted_cash":1256.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1476,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1568.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1660.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":738,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1752.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":701.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":600.55,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW PRT (IMPLNTED PRTS)","code_information":[{"code":"36591","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.1,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW PRT (IMPLNTED PRTS)","code_information":[{"code":"36591","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":53.71,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.71,"methodology":"fee schedule"}]}]},{"description":"VAD BLOOD DRAW","code_information":[{"code":"36591","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":89.1,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"}]}]},{"description":"VAD BLOOD DRAW","code_information":[{"code":"36591","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":53.71,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.71,"methodology":"fee schedule"}]}]},{"description":"BLOOD COLLECTION FROM PICC","code_information":[{"code":"36592","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":77.76,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"}]}]},{"description":"BLOOD COLLECTION FROM PICC","code_information":[{"code":"36592","type":"CPT"},{"code":"0510","type":"RC"}],"standard_charges":[{"minimum":46.88,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.88,"methodology":"fee schedule"}]}]},{"description":"CNTRL & PRIPH LINE BLOOD DRAW","code_information":[{"code":"36592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":77.76,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"}]}]},{"description":"CNTRL & PRIPH LINE BLOOD DRAW","code_information":[{"code":"36592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.88,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.88,"methodology":"fee schedule"}]}]},{"description":"DECLOT VASCULAR DEVICE","code_information":[{"code":"36593","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":247.86,"maximum":436.05,"gross_charge":459,"discounted_cash":312.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":390.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.76,"methodology":"fee schedule"}]}]},{"description":"DECLOT VASCULAR DEVICE","code_information":[{"code":"36593","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":149.41,"maximum":436.05,"gross_charge":459,"discounted_cash":312.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":390.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":149.41,"methodology":"fee schedule"}]}]},{"description":"INJ. W/FLUOR EVAL CVA DEVICE","code_information":[{"code":"36598","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":382.86,"maximum":673.55,"gross_charge":709,"discounted_cash":483.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":567.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":382.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":602.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":638.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":482.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":453.76,"methodology":"fee schedule"}]}]},{"description":"INJ. W/FLUOR EVAL CVA DEVICE","code_information":[{"code":"36598","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":230.78,"maximum":673.55,"gross_charge":709,"discounted_cash":483.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":567.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":397.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":602.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":638.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":283.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":673.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":269.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":230.78,"methodology":"fee schedule"}]}]},{"description":"ABG BLOOD DRAW (ADULT)","code_information":[{"code":"36600","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":105.84,"maximum":186.2,"gross_charge":196,"discounted_cash":133.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"}]}]},{"description":"ABG BLOOD DRAW (ADULT)","code_information":[{"code":"36600","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":63.8,"maximum":186.2,"gross_charge":196,"discounted_cash":133.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":63.8,"methodology":"fee schedule"}]}]},{"description":"BSP INSRTN ARTRL LN CATH/NDL","code_information":[{"code":"36620","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":212.22,"maximum":373.35,"gross_charge":393,"discounted_cash":267.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":353.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":267.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.52,"methodology":"fee schedule"}]}]},{"description":"BSP INSRTN ARTRL LN CATH/NDL","code_information":[{"code":"36620","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":127.93,"maximum":373.35,"gross_charge":393,"discounted_cash":267.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":220.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":353.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":157.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":127.93,"methodology":"fee schedule"}]}]},{"description":"INSERTION ARTERIAL CATHRZTN","code_information":[{"code":"36620","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":212.22,"maximum":373.35,"gross_charge":393,"discounted_cash":267.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":353.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":267.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.52,"methodology":"fee schedule"}]}]},{"description":"INSERTION ARTERIAL CATHRZTN","code_information":[{"code":"36620","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":127.93,"maximum":373.35,"gross_charge":393,"discounted_cash":267.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":220.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":334.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":353.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":157.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":127.93,"methodology":"fee schedule"}]}]},{"description":"CATH UMB ART DX/TX NEWBORN","code_information":[{"code":"36660","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":271.08,"maximum":476.9,"gross_charge":502,"discounted_cash":341.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":401.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":271.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":426.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":451.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":341.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.28,"methodology":"fee schedule"}]}]},{"description":"CATH UMB ART DX/TX NEWBORN","code_information":[{"code":"36660","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":163.41,"maximum":476.9,"gross_charge":502,"discounted_cash":341.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":401.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":281.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":426.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":451.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":200.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":163.41,"methodology":"fee schedule"}]}]},{"description":"INTRAOSSEOUS PUNCTURE","code_information":[{"code":"36680","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":173.34,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.44,"methodology":"fee schedule"}]}]},{"description":"INTRAOSSEOUS PUNCTURE","code_information":[{"code":"36680","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":104.49,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":104.49,"methodology":"fee schedule"}]}]},{"description":"CT LYMPH NODE BIOPSY","code_information":[{"code":"38505","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1597.86,"maximum":2811.05,"gross_charge":2959,"discounted_cash":2015.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1597.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2515.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1893.76,"methodology":"fee schedule"}]}]},{"description":"CT LYMPH NODE BIOPSY","code_information":[{"code":"38505","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":963.16,"maximum":2811.05,"gross_charge":2959,"discounted_cash":2015.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1657.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2515.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1183.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1124.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":963.16,"methodology":"fee schedule"}]}]},{"description":"US LYMPH NODE BIOPSY","code_information":[{"code":"38505","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":1597.86,"maximum":2811.05,"gross_charge":2959,"discounted_cash":2015.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1597.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2515.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1893.76,"methodology":"fee schedule"}]}]},{"description":"US LYMPH NODE BIOPSY","code_information":[{"code":"38505","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":963.16,"maximum":2811.05,"gross_charge":2959,"discounted_cash":2015.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1657.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2515.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1183.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2811.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1124.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":963.16,"methodology":"fee schedule"}]}]},{"description":"NM SENTNL NODE INJ.ONLY F/IDNT","code_information":[{"code":"38792","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":326.7,"maximum":574.75,"gross_charge":605,"discounted_cash":412.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":514.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":544.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":411.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.2,"methodology":"fee schedule"}]}]},{"description":"NM SENTNL NODE INJ.ONLY F/IDNT","code_information":[{"code":"38792","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":196.93,"maximum":574.75,"gross_charge":605,"discounted_cash":412.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":514.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":544.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":196.93,"methodology":"fee schedule"}]}]},{"description":"REPAIR LIP FULL VERMLN ONLY","code_information":[{"code":"40650","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":777.06,"maximum":1367.05,"gross_charge":1439,"discounted_cash":980.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":777.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":978.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":920.96,"methodology":"fee schedule"}]}]},{"description":"REPAIR LIP FULL VERMLN ONLY","code_information":[{"code":"40650","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":468.4,"maximum":1367.05,"gross_charge":1439,"discounted_cash":980.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":805.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":575.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":546.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":468.4,"methodology":"fee schedule"}]}]},{"description":"I&D ABCESS - VEST MONTH SMPL","code_information":[{"code":"40800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":214.92,"maximum":378.1,"gross_charge":398,"discounted_cash":271.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":318.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":338.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":358.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":254.72,"methodology":"fee schedule"}]}]},{"description":"I&D ABCESS - VEST MONTH SMPL","code_information":[{"code":"40800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":129.55,"maximum":378.1,"gross_charge":398,"discounted_cash":271.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":318.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":222.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":338.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":358.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":129.55,"methodology":"fee schedule"}]}]},{"description":"REMVL EMBED FB VEST MOUTH-SMPL","code_information":[{"code":"40804","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":208.98,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":263.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"}]}]},{"description":"REMVL EMBED FB VEST MOUTH-SMPL","code_information":[{"code":"40804","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.97,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":216.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.97,"methodology":"fee schedule"}]}]},{"description":"REPAIR MOUTH LACERATION","code_information":[{"code":"40830","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":313.74,"maximum":551.95,"gross_charge":581,"discounted_cash":395.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":313.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":395.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":371.84,"methodology":"fee schedule"}]}]},{"description":"REPAIR MOUTH LACERATION","code_information":[{"code":"40830","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":189.12,"maximum":551.95,"gross_charge":581,"discounted_cash":395.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":325.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":232.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":189.12,"methodology":"fee schedule"}]}]},{"description":"FBC INCISION OF TONGUE FOLD","code_information":[{"code":"41010","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1711.8,"maximum":3011.5,"gross_charge":3170,"discounted_cash":2159.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2536,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2694.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2853,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2155.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2028.8,"methodology":"fee schedule"}]}]},{"description":"FBC INCISION OF TONGUE FOLD","code_information":[{"code":"41010","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1031.84,"maximum":3011.5,"gross_charge":3170,"discounted_cash":2159.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2536,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1775.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2694.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2853,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1268,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3011.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1031.84,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE <2.5CM","code_information":[{"code":"41250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":234.36,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":234.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.76,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE <2.5CM","code_information":[{"code":"41250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.27,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":141.27,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE POSTROR 1/3OF","code_information":[{"code":"41251","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":265.68,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE POSTROR 1/3OF","code_information":[{"code":"41251","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":160.15,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":160.15,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE >2.6CM COMPLE","code_information":[{"code":"41252","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":576.18,"maximum":1013.65,"gross_charge":1067,"discounted_cash":726.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":853.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":576.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":906.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":960.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":725.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":682.88,"methodology":"fee schedule"}]}]},{"description":"LAC MOUTH-TONGUE >2.6CM COMPLE","code_information":[{"code":"41252","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":347.31,"maximum":1013.65,"gross_charge":1067,"discounted_cash":726.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":853.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":597.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":906.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":960.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":405.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":347.31,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-DENTOALVLR STRCTR","code_information":[{"code":"41800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.64,"maximum":395.2,"gross_charge":416,"discounted_cash":283.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.24,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-DENTOALVLR STRCTR","code_information":[{"code":"41800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":135.41,"maximum":395.2,"gross_charge":416,"discounted_cash":283.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":135.41,"methodology":"fee schedule"}]}]},{"description":"LACERATN OF PALATE - < 2CM.","code_information":[{"code":"42180","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":322.92,"maximum":568.1,"gross_charge":598,"discounted_cash":407.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":478.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":508.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":538.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":406.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":382.72,"methodology":"fee schedule"}]}]},{"description":"LACERATN OF PALATE - < 2CM.","code_information":[{"code":"42180","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":194.65,"maximum":568.1,"gross_charge":598,"discounted_cash":407.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":478.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":508.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":538.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":568.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":227.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"}]}]},{"description":"LACERATN OF PALATE - >2CM.CMPX","code_information":[{"code":"42182","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3563.46,"maximum":6269.05,"gross_charge":6599,"discounted_cash":4495.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5279.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3563.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5609.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5939.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4487.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4223.36,"methodology":"fee schedule"}]}]},{"description":"LACERATN OF PALATE - >2CM.CMPX","code_information":[{"code":"42182","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2147.98,"maximum":6269.05,"gross_charge":6599,"discounted_cash":4495.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5279.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3695.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5609.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5939.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2639.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2507.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2147.98,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF SALIVARY GLAND NDL","code_information":[{"code":"42400","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1030.32,"maximum":1812.6,"gross_charge":1908,"discounted_cash":1299.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1717.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1297.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1221.12,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF SALIVARY GLAND NDL","code_information":[{"code":"42400","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":621.06,"maximum":1812.6,"gross_charge":1908,"discounted_cash":1299.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1717.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":763.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":725.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":621.06,"methodology":"fee schedule"}]}]},{"description":"REMVL FB PHARYNGEAL","code_information":[{"code":"42809","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":182.52,"maximum":321.1,"gross_charge":338,"discounted_cash":230.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":270.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":182.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":287.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":304.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.32,"methodology":"fee schedule"}]}]},{"description":"REMVL FB PHARYNGEAL","code_information":[{"code":"42809","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":110.02,"maximum":321.1,"gross_charge":338,"discounted_cash":230.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":270.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":287.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":304.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":110.02,"methodology":"fee schedule"}]}]},{"description":"CNTRL OROPHARYGL HEMORR - SMPL","code_information":[{"code":"42960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":251.64,"maximum":442.7,"gross_charge":466,"discounted_cash":317.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":372.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":419.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":316.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.24,"methodology":"fee schedule"}]}]},{"description":"CNTRL OROPHARYGL HEMORR - SMPL","code_information":[{"code":"42960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":151.69,"maximum":442.7,"gross_charge":466,"discounted_cash":317.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":372.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":260.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":419.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":151.69,"methodology":"fee schedule"}]}]},{"description":"GASTRIC TUBE PLACEMENT NASO/OR","code_information":[{"code":"43752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":284.04,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336.64,"methodology":"fee schedule"}]}]},{"description":"GASTRIC TUBE PLACEMENT NASO/OR","code_information":[{"code":"43752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":171.22,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.22,"methodology":"fee schedule"}]}]},{"description":"NASO/ORO GASTRIC TUBE PLCMNT","code_information":[{"code":"43752","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":284.04,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336.64,"methodology":"fee schedule"}]}]},{"description":"NASO/ORO GASTRIC TUBE PLCMNT","code_information":[{"code":"43752","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":171.22,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.22,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE","code_information":[{"code":"43753","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":208.98,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":263.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE","code_information":[{"code":"43753","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.97,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":216.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.97,"methodology":"fee schedule"}]}]},{"description":"NASO/ORO GASTRIC REPOSTNG TUBE","code_information":[{"code":"43761","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":814.32,"maximum":1432.6,"gross_charge":1508,"discounted_cash":1027.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":965.12,"methodology":"fee schedule"}]}]},{"description":"NASO/ORO GASTRIC REPOSTNG TUBE","code_information":[{"code":"43761","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":490.86,"maximum":1432.6,"gross_charge":1508,"discounted_cash":1027.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":844.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":603.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":573.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":490.86,"methodology":"fee schedule"}]}]},{"description":"BSP GASTRSTMY CHNG TB W/O-REV","code_information":[{"code":"43762","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":557.28,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":660.48,"methodology":"fee schedule"}]}]},{"description":"BSP GASTRSTMY CHNG TB W/O-REV","code_information":[{"code":"43762","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":335.92,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":335.92,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY TUBE CHANGE","code_information":[{"code":"43762","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":557.28,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":660.48,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY TUBE CHANGE","code_information":[{"code":"43762","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":335.92,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":335.92,"methodology":"fee schedule"}]}]},{"description":"CHNG GASTRSTMY TUBE W/ REVSN","code_information":[{"code":"43763","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":557.28,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":660.48,"methodology":"fee schedule"}]}]},{"description":"CHNG GASTRSTMY TUBE W/ REVSN","code_information":[{"code":"43763","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":335.92,"maximum":980.4,"gross_charge":1032,"discounted_cash":703.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":877.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":980.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":335.92,"methodology":"fee schedule"}]}]},{"description":"REMVL FECAL/FB IMPACTN W/ANES","code_information":[{"code":"45915","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1381.32,"maximum":2430.1,"gross_charge":2558,"discounted_cash":1742.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1739.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1637.12,"methodology":"fee schedule"}]}]},{"description":"REMVL FECAL/FB IMPACTN W/ANES","code_information":[{"code":"45915","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":832.63,"maximum":2430.1,"gross_charge":2558,"discounted_cash":1742.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":972.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":832.63,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-ISCHIO/PERIRECTAL","code_information":[{"code":"46040","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1584.9,"maximum":2788.25,"gross_charge":2935,"discounted_cash":1999.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2348,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1584.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2494.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1995.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1878.4,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-ISCHIO/PERIRECTAL","code_information":[{"code":"46040","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":955.35,"maximum":2788.25,"gross_charge":2935,"discounted_cash":1999.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2348,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2494.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1174,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":955.35,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-PERIANAL (SUPRFCL)","code_information":[{"code":"46050","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":508.14,"maximum":893.95,"gross_charge":941,"discounted_cash":641.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":752.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":508.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":799.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":846.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":639.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":602.24,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-PERIANAL (SUPRFCL)","code_information":[{"code":"46050","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":306.3,"maximum":893.95,"gross_charge":941,"discounted_cash":641.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":752.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":526.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":799.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":846.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":376.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":357.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":306.3,"methodology":"fee schedule"}]}]},{"description":"INCISN THROMBSD HEMORRHD EXTRL","code_information":[{"code":"46083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.88,"maximum":543.4,"gross_charge":572,"discounted_cash":389.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":486.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":514.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":366.08,"methodology":"fee schedule"}]}]},{"description":"INCISN THROMBSD HEMORRHD EXTRL","code_information":[{"code":"46083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":186.19,"maximum":543.4,"gross_charge":572,"discounted_cash":389.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":486.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":514.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":217.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":186.19,"methodology":"fee schedule"}]}]},{"description":"EXCIS/ENUCL EXTERNL HEMORRHOID","code_information":[{"code":"46320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1381.32,"maximum":2430.1,"gross_charge":2558,"discounted_cash":1742.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1739.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1637.12,"methodology":"fee schedule"}]}]},{"description":"EXCIS/ENUCL EXTERNL HEMORRHOID","code_information":[{"code":"46320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":832.63,"maximum":2430.1,"gross_charge":2558,"discounted_cash":1742.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1432.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2302.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2430.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":972.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":832.63,"methodology":"fee schedule"}]}]},{"description":"ANOSCOPY DIAGNOSTIC","code_information":[{"code":"46600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":118.8,"maximum":209,"gross_charge":220,"discounted_cash":149.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":187,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":198,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"}]}]},{"description":"ANOSCOPY DIAGNOSTIC","code_information":[{"code":"46600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":71.61,"maximum":209,"gross_charge":220,"discounted_cash":149.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":187,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":198,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":71.61,"methodology":"fee schedule"}]}]},{"description":"ANOSCOPY W/REMOVAL FB","code_information":[{"code":"46608","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":736.56,"maximum":1295.8,"gross_charge":1364,"discounted_cash":929.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1091.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":736.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1227.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":927.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":872.96,"methodology":"fee schedule"}]}]},{"description":"ANOSCOPY W/REMOVAL FB","code_information":[{"code":"46608","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":443.99,"maximum":1295.8,"gross_charge":1364,"discounted_cash":929.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1091.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":763.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1227.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":545.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":443.99,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF LIVERNDLEPERCTUS","code_information":[{"code":"47000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":856.98,"maximum":1507.65,"gross_charge":1587,"discounted_cash":1081.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":856.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1428.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1015.68,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF LIVERNDLEPERCTUS","code_information":[{"code":"47000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":516.57,"maximum":1507.65,"gross_charge":1587,"discounted_cash":1081.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":888.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1428.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":634.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":603.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":516.57,"methodology":"fee schedule"}]}]},{"description":"INJ.CHOLANGRPHY - EXSTNG CATH","code_information":[{"code":"47531","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":730.62,"maximum":1285.35,"gross_charge":1353,"discounted_cash":921.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":730.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":920.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":865.92,"methodology":"fee schedule"}]}]},{"description":"INJ.CHOLANGRPHY - EXSTNG CATH","code_information":[{"code":"47531","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":440.41,"maximum":1285.35,"gross_charge":1353,"discounted_cash":921.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":757.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":541.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":514.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":440.41,"methodology":"fee schedule"}]}]},{"description":"XR CHOLANGIO POST OP T-TUBE","code_information":[{"code":"47531","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":730.62,"maximum":1285.35,"gross_charge":1353,"discounted_cash":921.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":730.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":920.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":865.92,"methodology":"fee schedule"}]}]},{"description":"XR CHOLANGIO POST OP T-TUBE","code_information":[{"code":"47531","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":440.41,"maximum":1285.35,"gross_charge":1353,"discounted_cash":921.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":757.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":541.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1285.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":514.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":440.41,"methodology":"fee schedule"}]}]},{"description":"ABDMNAL PARACENTESIS W/O IMAGE","code_information":[{"code":"49082","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":668.52,"maximum":1176.1,"gross_charge":1238,"discounted_cash":843.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":668.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1052.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":841.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":792.32,"methodology":"fee schedule"}]}]},{"description":"ABDMNAL PARACENTESIS W/O IMAGE","code_information":[{"code":"49082","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":402.97,"maximum":1176.1,"gross_charge":1238,"discounted_cash":843.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":693.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1052.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":495.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":470.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":402.97,"methodology":"fee schedule"}]}]},{"description":"ABDMNL PARACENTESIS W/O IMAGE","code_information":[{"code":"49082","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":668.52,"maximum":1176.1,"gross_charge":1238,"discounted_cash":843.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":668.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1052.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":841.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":792.32,"methodology":"fee schedule"}]}]},{"description":"ABDMNL PARACENTESIS W/O IMAGE","code_information":[{"code":"49082","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":402.97,"maximum":1176.1,"gross_charge":1238,"discounted_cash":843.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":693.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1052.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":495.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":470.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":402.97,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W/IMAGING","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1132.92,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1426.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1342.72,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W/IMAGING","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":682.9,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":839.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":797.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":682.9,"methodology":"fee schedule"}]}]},{"description":"ABDOMINAL PARACENTESIS W/IMAG","code_information":[{"code":"49083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1132.92,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1426.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1342.72,"methodology":"fee schedule"}]}]},{"description":"ABDOMINAL PARACENTESIS W/IMAG","code_information":[{"code":"49083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":682.9,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":839.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":797.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":682.9,"methodology":"fee schedule"}]}]},{"description":"CARD REHAB OP NON-ECG","code_information":[{"code":"49301001","type":"CDM"},{"code":"0943","type":"RC"}],"standard_charges":[{"minimum":187.38,"maximum":329.65,"gross_charge":347,"discounted_cash":236.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":277.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":294.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":312.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":235.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.08,"methodology":"fee schedule"}]}]},{"description":"CARD REHAB OP NON-ECG","code_information":[{"code":"49301001","type":"CDM"},{"code":"0943","type":"RC"}],"standard_charges":[{"minimum":112.95,"maximum":329.65,"gross_charge":347,"discounted_cash":236.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":277.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":294.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":312.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":112.95,"methodology":"fee schedule"}]}]},{"description":"CARD REHAB OP CONTUS-ECG","code_information":[{"code":"49301005","type":"CDM"},{"code":"0943","type":"RC"}],"standard_charges":[{"minimum":197.1,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"}]}]},{"description":"CARD REHAB OP CONTUS-ECG","code_information":[{"code":"49301005","type":"CDM"},{"code":"0943","type":"RC"}],"standard_charges":[{"minimum":118.81,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.81,"methodology":"fee schedule"}]}]},{"description":"CT GUID RETRO/PRIT ABS DRN","code_information":[{"code":"49406","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2253.96,"maximum":3965.3,"gross_charge":4174,"discounted_cash":2843.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3339.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2253.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3547.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3756.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2671.36,"methodology":"fee schedule"}]}]},{"description":"CT GUID RETRO/PRIT ABS DRN","code_information":[{"code":"49406","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1358.64,"maximum":3965.3,"gross_charge":4174,"discounted_cash":2843.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3339.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2337.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3547.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3756.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1669.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3965.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1586.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1358.64,"methodology":"fee schedule"}]}]},{"description":"REPLCMNT G/C TUBE PERCUTOUS","code_information":[{"code":"49450","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":728.46,"maximum":1281.55,"gross_charge":1349,"discounted_cash":919,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":728.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1146.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1214.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":917.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":863.36,"methodology":"fee schedule"}]}]},{"description":"REPLCMNT G/C TUBE PERCUTOUS","code_information":[{"code":"49450","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":439.1,"maximum":1281.55,"gross_charge":1349,"discounted_cash":919,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":755.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1146.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1214.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":539.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":512.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":439.1,"methodology":"fee schedule"}]}]},{"description":"INJ FLUORO EXAM OF G/COLON TB","code_information":[{"code":"49465","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":298.62,"maximum":525.35,"gross_charge":553,"discounted_cash":376.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":442.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":470.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":497.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":376.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":353.92,"methodology":"fee schedule"}]}]},{"description":"INJ FLUORO EXAM OF G/COLON TB","code_information":[{"code":"49465","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":180.01,"maximum":525.35,"gross_charge":553,"discounted_cash":376.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":442.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":309.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":470.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":497.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":221.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":180.01,"methodology":"fee schedule"}]}]},{"description":"BIOPSY RENALPERCTNUS NDL-TORC","code_information":[{"code":"50200","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1175.58,"maximum":2068.15,"gross_charge":2177,"discounted_cash":1483.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1741.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1850.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1959.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1393.28,"methodology":"fee schedule"}]}]},{"description":"BIOPSY RENALPERCTNUS NDL-TORC","code_information":[{"code":"50200","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":708.62,"maximum":2068.15,"gross_charge":2177,"discounted_cash":1483.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1741.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1219.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1850.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1959.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":870.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2068.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":827.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":708.62,"methodology":"fee schedule"}]}]},{"description":"INTRO GUID NEPHRSTM W/NEW ACC","code_information":[{"code":"50437","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2437.56,"maximum":4288.3,"gross_charge":4514,"discounted_cash":3075.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3836.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3069.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2888.96,"methodology":"fee schedule"}]}]},{"description":"INTRO GUID NEPHRSTM W/NEW ACC","code_information":[{"code":"50437","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1469.31,"maximum":4288.3,"gross_charge":4514,"discounted_cash":3075.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2527.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3836.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1805.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1715.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1469.31,"methodology":"fee schedule"}]}]},{"description":"ASPIRATN BLADR W/CATH INSERTN","code_information":[{"code":"51102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1928.34,"maximum":3392.45,"gross_charge":3571,"discounted_cash":2432.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3035.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3213.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2428.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2285.44,"methodology":"fee schedule"}]}]},{"description":"ASPIRATN BLADR W/CATH INSERTN","code_information":[{"code":"51102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1162.37,"maximum":3392.45,"gross_charge":3571,"discounted_cash":2432.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3035.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3213.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1428.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3392.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1356.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1162.37,"methodology":"fee schedule"}]}]},{"description":"INJ.FOR BLADDER XRAY-VOIDING","code_information":[{"code":"51600","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":357.48,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":357.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.68,"methodology":"fee schedule"}]}]},{"description":"INJ.FOR BLADDER XRAY-VOIDING","code_information":[{"code":"51600","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":215.49,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":215.49,"methodology":"fee schedule"}]}]},{"description":"INJ.FOR BLADDER XRAY-RETROGRAD","code_information":[{"code":"51610","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":436.86,"maximum":768.55,"gross_charge":809,"discounted_cash":551.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":647.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":436.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":687.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":728.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":550.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":517.76,"methodology":"fee schedule"}]}]},{"description":"INJ.FOR BLADDER XRAY-RETROGRAD","code_information":[{"code":"51610","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":263.33,"maximum":768.55,"gross_charge":809,"discounted_cash":551.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":647.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":453.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":687.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":728.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":323.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":768.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":263.33,"methodology":"fee schedule"}]}]},{"description":"BSP THERPUTC BLADER IRRIG(SMPL","code_information":[{"code":"51700","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":173.34,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.44,"methodology":"fee schedule"}]}]},{"description":"BSP THERPUTC BLADER IRRIG(SMPL","code_information":[{"code":"51700","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":104.49,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":104.49,"methodology":"fee schedule"}]}]},{"description":"IRRIG BLADDER-SMPL-LAVG/INSTLN","code_information":[{"code":"51700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":173.34,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.44,"methodology":"fee schedule"}]}]},{"description":"IRRIG BLADDER-SMPL-LAVG/INSTLN","code_information":[{"code":"51700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":104.49,"maximum":304.95,"gross_charge":321,"discounted_cash":218.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":272.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":104.49,"methodology":"fee schedule"}]}]},{"description":"CATH INSTRN NON-INDWLL(STRGHT)","code_information":[{"code":"51701","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":122.58,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.28,"methodology":"fee schedule"}]}]},{"description":"CATH INSTRN NON-INDWLL(STRGHT)","code_information":[{"code":"51701","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":73.89,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.89,"methodology":"fee schedule"}]}]},{"description":"OP CATH NON-INDWLL (STRGHT)","code_information":[{"code":"51701","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":122.58,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.28,"methodology":"fee schedule"}]}]},{"description":"OP CATH NON-INDWLL (STRGHT)","code_information":[{"code":"51701","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":73.89,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.89,"methodology":"fee schedule"}]}]},{"description":"CATH INSRTN TEMP-INDWLL(FOLEY)","code_information":[{"code":"51702","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":181.98,"maximum":320.15,"gross_charge":337,"discounted_cash":229.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":286.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":303.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.68,"methodology":"fee schedule"}]}]},{"description":"CATH INSRTN TEMP-INDWLL(FOLEY)","code_information":[{"code":"51702","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":109.7,"maximum":320.15,"gross_charge":337,"discounted_cash":229.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":286.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":303.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":109.7,"methodology":"fee schedule"}]}]},{"description":"OP CATH TEMP-INDWLL (FOLEY)","code_information":[{"code":"51702","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":181.98,"maximum":320.15,"gross_charge":337,"discounted_cash":229.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":286.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":303.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.68,"methodology":"fee schedule"}]}]},{"description":"OP CATH TEMP-INDWLL (FOLEY)","code_information":[{"code":"51702","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":109.7,"maximum":320.15,"gross_charge":337,"discounted_cash":229.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":269.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":286.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":303.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":320.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":109.7,"methodology":"fee schedule"}]}]},{"description":"CATH INSRTN TEMP-INDWLL CMPLTD","code_information":[{"code":"51703","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.48,"maximum":391.4,"gross_charge":412,"discounted_cash":280.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":222.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":350.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":370.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":280.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":263.68,"methodology":"fee schedule"}]}]},{"description":"CATH INSRTN TEMP-INDWLL CMPLTD","code_information":[{"code":"51703","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":134.11,"maximum":391.4,"gross_charge":412,"discounted_cash":280.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":350.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":370.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":164.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":134.11,"methodology":"fee schedule"}]}]},{"description":"OP CATH INSRTN COMPLEX(FOLY","code_information":[{"code":"51703","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":222.48,"maximum":391.4,"gross_charge":412,"discounted_cash":280.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":222.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":350.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":370.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":280.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":263.68,"methodology":"fee schedule"}]}]},{"description":"OP CATH INSRTN COMPLEX(FOLY","code_information":[{"code":"51703","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":134.11,"maximum":391.4,"gross_charge":412,"discounted_cash":280.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":329.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":350.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":370.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":164.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":134.11,"methodology":"fee schedule"}]}]},{"description":"CHANGE CYSTOSTOMY TUBE SIMPLE","code_information":[{"code":"51705","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":325.08,"maximum":571.9,"gross_charge":602,"discounted_cash":410.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":481.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":325.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":511.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":541.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":409.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":385.28,"methodology":"fee schedule"}]}]},{"description":"CHANGE CYSTOSTOMY TUBE SIMPLE","code_information":[{"code":"51705","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":195.96,"maximum":571.9,"gross_charge":602,"discounted_cash":410.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":481.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":337.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":511.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":541.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":571.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":195.96,"methodology":"fee schedule"}]}]},{"description":"INJ IMPLNT MAT URTHRA/BLDR NCK","code_information":[{"code":"51715","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3634.2,"maximum":6393.5,"gross_charge":6730,"discounted_cash":4584.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5384,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3634.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5720.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6057,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4576.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4307.2,"methodology":"fee schedule"}]}]},{"description":"INJ IMPLNT MAT URTHRA/BLDR NCK","code_information":[{"code":"51715","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2190.62,"maximum":6393.5,"gross_charge":6730,"discounted_cash":4584.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5384,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3768.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5720.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6057,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2692,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6393.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2557.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2190.62,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-SIMPLE","code_information":[{"code":"51725","type":"CPT"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":723.06,"maximum":1272.05,"gross_charge":1339,"discounted_cash":912.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1071.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":723.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1138.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":910.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":856.96,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-SIMPLE","code_information":[{"code":"51725","type":"CPT"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":435.85,"maximum":1272.05,"gross_charge":1339,"discounted_cash":912.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1071.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":749.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1138.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":535.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":508.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":435.85,"methodology":"fee schedule"}]}]},{"description":"URO CALBRTD CYSTOMTRGRM COMPLX","code_information":[{"code":"51726","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":437.4,"maximum":769.5,"gross_charge":810,"discounted_cash":551.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":437.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":688.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":729,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"}]}]},{"description":"URO CALBRTD CYSTOMTRGRM COMPLX","code_information":[{"code":"51726","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":263.66,"maximum":769.5,"gross_charge":810,"discounted_cash":551.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":453.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":688.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":729,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":263.66,"methodology":"fee schedule"}]}]},{"description":"URO CYSTOMTRGRM/VDNG PRSU STDY","code_information":[{"code":"51728","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":526.5,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":526.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":663,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":624,"methodology":"fee schedule"}]}]},{"description":"URO CYSTOMTRGRM/VDNG PRSU STDY","code_information":[{"code":"51728","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":317.37,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":546,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":390,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":370.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":317.37,"methodology":"fee schedule"}]}]},{"description":"SIMPLE UROFLOWMETRY","code_information":[{"code":"51736","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":174.42,"maximum":306.85,"gross_charge":323,"discounted_cash":220.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":219.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.72,"methodology":"fee schedule"}]}]},{"description":"SIMPLE UROFLOWMETRY","code_information":[{"code":"51736","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":105.14,"maximum":306.85,"gross_charge":323,"discounted_cash":220.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":180.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.14,"methodology":"fee schedule"}]}]},{"description":"URO CALIBRATED FLOW COMPLX","code_information":[{"code":"51741","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":277.4,"gross_charge":292,"discounted_cash":198.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.88,"methodology":"fee schedule"}]}]},{"description":"URO CALIBRATED FLOW COMPLX","code_information":[{"code":"51741","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":95.05,"maximum":277.4,"gross_charge":292,"discounted_cash":198.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":95.05,"methodology":"fee schedule"}]}]},{"description":"URO ELECTOMYGRPHYPTCHELECTRD","code_information":[{"code":"51784","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":194.94,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.04,"methodology":"fee schedule"}]}]},{"description":"URO ELECTOMYGRPHYPTCHELECTRD","code_information":[{"code":"51784","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":117.51,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":202.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":117.51,"methodology":"fee schedule"}]}]},{"description":"URO ELECTOMYGRPHYNEDL ELECTRD","code_information":[{"code":"51785","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":309.42,"maximum":544.35,"gross_charge":573,"discounted_cash":390.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":458.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":309.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":487.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":515.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":389.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":366.72,"methodology":"fee schedule"}]}]},{"description":"URO ELECTOMYGRPHYNEDL ELECTRD","code_information":[{"code":"51785","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":186.52,"maximum":544.35,"gross_charge":573,"discounted_cash":390.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":458.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":487.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":515.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":544.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":217.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":186.52,"methodology":"fee schedule"}]}]},{"description":"URO VOIDING PRESSURE STUDY","code_information":[{"code":"51797","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":228.42,"maximum":401.85,"gross_charge":423,"discounted_cash":288.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":228.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":287.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.72,"methodology":"fee schedule"}]}]},{"description":"URO VOIDING PRESSURE STUDY","code_information":[{"code":"51797","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":137.69,"maximum":401.85,"gross_charge":423,"discounted_cash":288.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":137.69,"methodology":"fee schedule"}]}]},{"description":"BSP BLADDER SCAN (PER EVENT)","code_information":[{"code":"51798","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":103.14,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.24,"methodology":"fee schedule"}]}]},{"description":"BSP BLADDER SCAN (PER EVENT)","code_information":[{"code":"51798","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":62.18,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.18,"methodology":"fee schedule"}]}]},{"description":"BSP BLADDER SCAN (PER EVENT)","code_information":[{"code":"51798","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":103.14,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.24,"methodology":"fee schedule"}]}]},{"description":"BSP BLADDER SCAN (PER EVENT)","code_information":[{"code":"51798","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":62.18,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.18,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY","code_information":[{"code":"52000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":526.5,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":526.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":663,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":624,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY","code_information":[{"code":"52000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":317.37,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":546,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":390,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":370.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":317.37,"methodology":"fee schedule"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52224","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4112.64,"maximum":7235.2,"gross_charge":7616,"discounted_cash":5188.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6092.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4112.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6473.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6854.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5178.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4874.24,"methodology":"fee schedule"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52224","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2479.01,"maximum":7235.2,"gross_charge":7616,"discounted_cash":5188.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6092.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4264.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6473.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6854.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3046.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7235.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2894.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2479.01,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY W/ BOTOX INJ","code_information":[{"code":"52287","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2579.58,"maximum":4538.15,"gross_charge":4777,"discounted_cash":3254.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3821.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4060.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4299.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3248.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3057.28,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY W/ BOTOX INJ","code_information":[{"code":"52287","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1554.92,"maximum":4538.15,"gross_charge":4777,"discounted_cash":3254.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3821.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2675.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4060.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4299.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1815.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1554.92,"methodology":"fee schedule"}]}]},{"description":"MEATOTOMYCUTTING OF MEATUS","code_information":[{"code":"53020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1814.94,"maximum":3192.95,"gross_charge":3361,"discounted_cash":2289.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2688.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1814.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2856.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3024.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2285.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2151.04,"methodology":"fee schedule"}]}]},{"description":"MEATOTOMYCUTTING OF MEATUS","code_information":[{"code":"53020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1094.01,"maximum":3192.95,"gross_charge":3361,"discounted_cash":2289.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2688.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1882.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2856.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3024.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1344.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1277.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1094.01,"methodology":"fee schedule"}]}]},{"description":"SLITTING OF PREPUCE-NOT NEWBRN","code_information":[{"code":"54001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1514.16,"maximum":2663.8,"gross_charge":2804,"discounted_cash":1910.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2243.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1514.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2523.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1906.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1794.56,"methodology":"fee schedule"}]}]},{"description":"SLITTING OF PREPUCE-NOT NEWBRN","code_information":[{"code":"54001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":912.71,"maximum":2663.8,"gross_charge":2804,"discounted_cash":1910.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2243.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2523.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1121.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2663.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1065.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":912.71,"methodology":"fee schedule"}]}]},{"description":"NUR CIRCUMCISION","code_information":[{"code":"54150","type":"CPT"},{"code":"0723","type":"RC"}],"standard_charges":[{"minimum":1253.88,"maximum":2205.9,"gross_charge":2322,"discounted_cash":1581.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1253.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1973.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2089.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1578.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1486.08,"methodology":"fee schedule"}]}]},{"description":"NUR CIRCUMCISION","code_information":[{"code":"54150","type":"CPT"},{"code":"0723","type":"RC"}],"standard_charges":[{"minimum":755.82,"maximum":2205.9,"gross_charge":2322,"discounted_cash":1581.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1973.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2089.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":882.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":755.82,"methodology":"fee schedule"}]}]},{"description":"PREPUTIAL ADHSN/STRETCHING","code_information":[{"code":"54450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":456.84,"maximum":803.7,"gross_charge":846,"discounted_cash":576.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":761.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":575.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":541.44,"methodology":"fee schedule"}]}]},{"description":"PREPUTIAL ADHSN/STRETCHING","code_information":[{"code":"54450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":275.38,"maximum":803.7,"gross_charge":846,"discounted_cash":576.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":676.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":473.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":761.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":803.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":275.38,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF PROSTATE","code_information":[{"code":"55700","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2170.8,"maximum":3819,"gross_charge":4020,"discounted_cash":2738.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2170.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3417,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3618,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2733.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2572.8,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF PROSTATE","code_information":[{"code":"55700","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1308.51,"maximum":3819,"gross_charge":4020,"discounted_cash":2738.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3417,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3618,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1608,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1527.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1308.51,"methodology":"fee schedule"}]}]},{"description":"INC.BIOPSY NDLE/PUNCH-PROSTATE","code_information":[{"code":"55705","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1863,"maximum":3277.5,"gross_charge":3450,"discounted_cash":2350.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2760,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1863,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2932.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3105,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2346,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2208,"methodology":"fee schedule"}]}]},{"description":"INC.BIOPSY NDLE/PUNCH-PROSTATE","code_information":[{"code":"55705","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1122.98,"maximum":3277.5,"gross_charge":3450,"discounted_cash":2350.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2760,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1932,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2932.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3105,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1380,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3277.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1311,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1122.98,"methodology":"fee schedule"}]}]},{"description":"ANES LENS SURGERY","code_information":[{"code":"56010107","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":232.74,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.84,"methodology":"fee schedule"}]}]},{"description":"ANES LENS SURGERY","code_information":[{"code":"56010107","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":140.3,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":241.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":172.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.3,"methodology":"fee schedule"}]}]},{"description":"M-ANES LENS SURGERY","code_information":[{"code":"56010108","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":4.54,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"}]}]},{"description":"M-ANES LENS SURGERY","code_information":[{"code":"56010108","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":2.74,"maximum":7.98,"gross_charge":8.4,"discounted_cash":5.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7.14,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2.74,"methodology":"fee schedule"}]}]},{"description":"INJ.CERV/THORC W/IMAGE","code_information":[{"code":"56010996","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ.CERV/THORC W/IMAGE","code_information":[{"code":"56010996","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"INJ.LUMB/SACR/CAUD W/O IMAGE","code_information":[{"code":"56010997","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":631.8,"maximum":1111.5,"gross_charge":1170,"discounted_cash":797.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":631.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":994.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":795.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"}]}]},{"description":"INJ.LUMB/SACR/CAUD W/O IMAGE","code_information":[{"code":"56010997","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":380.84,"maximum":1111.5,"gross_charge":1170,"discounted_cash":797.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":655.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":994.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":380.84,"methodology":"fee schedule"}]}]},{"description":"INJ.CERV/THORC W/O IMAGE","code_information":[{"code":"56010999","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":560.52,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":705.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"}]}]},{"description":"INJ.CERV/THORC W/O IMAGE","code_information":[{"code":"56010999","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":337.87,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":337.87,"methodology":"fee schedule"}]}]},{"description":"PVB CONT INFUS BY CATH W/IMAG","code_information":[{"code":"56012005","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":488.16,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":614.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":578.56,"methodology":"fee schedule"}]}]},{"description":"PVB CONT INFUS BY CATH W/IMAG","code_information":[{"code":"56012005","type":"CDM"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":294.26,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":361.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":343.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS VULVA/PERINEAL","code_information":[{"code":"56405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":276.48,"maximum":486.4,"gross_charge":512,"discounted_cash":348.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":409.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":327.68,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS VULVA/PERINEAL","code_information":[{"code":"56405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":166.66,"maximum":486.4,"gross_charge":512,"discounted_cash":348.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":409.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":204.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":194.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":166.66,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-BARTHOLINS GLAND","code_information":[{"code":"56420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":254.34,"maximum":447.45,"gross_charge":471,"discounted_cash":320.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":376.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":254.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":400.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":423.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":320.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":301.44,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS-BARTHOLINS GLAND","code_information":[{"code":"56420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":153.32,"maximum":447.45,"gross_charge":471,"discounted_cash":320.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":376.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":400.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":423.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":188.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":447.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":153.32,"methodology":"fee schedule"}]}]},{"description":"COLPORRHAPHY (SUTR VAG NONOB)","code_information":[{"code":"57200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1705.86,"maximum":3001.05,"gross_charge":3159,"discounted_cash":2152.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2527.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2685.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2021.76,"methodology":"fee schedule"}]}]},{"description":"COLPORRHAPHY (SUTR VAG NONOB)","code_information":[{"code":"57200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1028.26,"maximum":3001.05,"gross_charge":3159,"discounted_cash":2152.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2527.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1769.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2685.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1263.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3001.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1200.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1028.26,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD FB VAGINAL W/ANES","code_information":[{"code":"57415","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1632.42,"maximum":2871.85,"gross_charge":3023,"discounted_cash":2059.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2418.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1632.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2569.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2055.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1934.72,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD FB VAGINAL W/ANES","code_information":[{"code":"57415","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":983.99,"maximum":2871.85,"gross_charge":3023,"discounted_cash":2059.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2418.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2569.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1209.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2871.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1148.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":983.99,"methodology":"fee schedule"}]}]},{"description":"REMVL (IUD) INTRAUTERINE DEVC","code_information":[{"code":"58301","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":207.9,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"}]}]},{"description":"REMVL (IUD) INTRAUTERINE DEVC","code_information":[{"code":"58301","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.32,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.32,"methodology":"fee schedule"}]}]},{"description":"CATH&INTRDCTN SLN/CNST HYSTERO","code_information":[{"code":"58340","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":385.02,"maximum":677.35,"gross_charge":713,"discounted_cash":485.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":641.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":484.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456.32,"methodology":"fee schedule"}]}]},{"description":"CATH&INTRDCTN SLN/CNST HYSTERO","code_information":[{"code":"58340","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":232.09,"maximum":677.35,"gross_charge":713,"discounted_cash":485.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":399.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":641.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":232.09,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCENTESIS DX","code_information":[{"code":"59000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":530.82,"maximum":933.85,"gross_charge":983,"discounted_cash":669.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":786.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":530.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":835.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":884.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":668.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":629.12,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCENTESIS DX","code_information":[{"code":"59000","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":319.97,"maximum":933.85,"gross_charge":983,"discounted_cash":669.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":786.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":550.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":835.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":884.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":393.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":933.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":319.97,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCNTSIS FLD RDCTN W/US","code_information":[{"code":"59001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":495.72,"maximum":872.1,"gross_charge":918,"discounted_cash":625.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":495.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":624.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":587.52,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCNTSIS FLD RDCTN W/US","code_information":[{"code":"59001","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":298.81,"maximum":872.1,"gross_charge":918,"discounted_cash":625.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":514.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":298.81,"methodology":"fee schedule"}]}]},{"description":"FETAL NONSTRESS TEST","code_information":[{"code":"59025","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":403.92,"maximum":710.6,"gross_charge":748,"discounted_cash":509.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":403.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":635.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":673.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":508.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":478.72,"methodology":"fee schedule"}]}]},{"description":"FETAL NONSTRESS TEST","code_information":[{"code":"59025","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":243.48,"maximum":710.6,"gross_charge":748,"discounted_cash":509.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":418.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":635.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":673.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":284.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":243.48,"methodology":"fee schedule"}]}]},{"description":"VAGINAL DELIVERY ONLY","code_information":[{"code":"59409","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1956.42,"maximum":3441.85,"gross_charge":3623,"discounted_cash":2468.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2898.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1956.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3079.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3260.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2463.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2318.72,"methodology":"fee schedule"}]}]},{"description":"VAGINAL DELIVERY ONLY","code_information":[{"code":"59409","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1179.29,"maximum":3441.85,"gross_charge":3623,"discounted_cash":2468.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2898.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2028.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3079.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3260.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1449.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1376.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1179.29,"methodology":"fee schedule"}]}]},{"description":"EBV (SUCCESSFUL)BREECH MANIP","code_information":[{"code":"59412","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":1546.56,"maximum":2720.8,"gross_charge":2864,"discounted_cash":1951.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2291.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1546.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2434.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1947.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1832.96,"methodology":"fee schedule"}]}]},{"description":"EBV (SUCCESSFUL)BREECH MANIP","code_information":[{"code":"59412","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":932.24,"maximum":2720.8,"gross_charge":2864,"discounted_cash":1951.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2291.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2434.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1088.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":932.24,"methodology":"fee schedule"}]}]},{"description":"DELIVER PLACENTA","code_information":[{"code":"59414","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3004.56,"maximum":5285.8,"gross_charge":5564,"discounted_cash":3790.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4451.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3004.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4729.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5007.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3783.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3560.96,"methodology":"fee schedule"}]}]},{"description":"DELIVER PLACENTA","code_information":[{"code":"59414","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1811.09,"maximum":5285.8,"gross_charge":5564,"discounted_cash":3790.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4451.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3115.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4729.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5007.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5285.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2114.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1811.09,"methodology":"fee schedule"}]}]},{"description":"TX INCOMPLT ABORTN-SURGICALLY","code_information":[{"code":"59812","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1533.6,"maximum":2698,"gross_charge":2840,"discounted_cash":1934.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1533.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1931.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1817.6,"methodology":"fee schedule"}]}]},{"description":"TX INCOMPLT ABORTN-SURGICALLY","code_information":[{"code":"59812","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":924.42,"maximum":2698,"gross_charge":2840,"discounted_cash":1934.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2272,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2414,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2556,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1136,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2698,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1079.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":924.42,"methodology":"fee schedule"}]}]},{"description":"BX THYROID PERCUTOUS CORE NDL","code_information":[{"code":"60100","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":475.74,"maximum":836.95,"gross_charge":881,"discounted_cash":600.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":704.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":475.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":748.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":792.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":599.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.84,"methodology":"fee schedule"}]}]},{"description":"BX THYROID PERCUTOUS CORE NDL","code_information":[{"code":"60100","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":286.77,"maximum":836.95,"gross_charge":881,"discounted_cash":600.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":704.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":493.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":748.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":792.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":352.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":836.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":286.77,"methodology":"fee schedule"}]}]},{"description":"REFILL/MAINT PORTABLE PUMP","code_information":[{"code":"60100000","type":"CDM"},{"code":"0335","type":"RC"}],"standard_charges":[{"minimum":149.58,"maximum":263.15,"gross_charge":277,"discounted_cash":188.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":221.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":149.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":235.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":249.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":188.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.28,"methodology":"fee schedule"}]}]},{"description":"REFILL/MAINT PORTABLE PUMP","code_information":[{"code":"60100000","type":"CDM"},{"code":"0335","type":"RC"}],"standard_charges":[{"minimum":90.17,"maximum":263.15,"gross_charge":277,"discounted_cash":188.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":221.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":235.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":249.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.17,"methodology":"fee schedule"}]}]},{"description":"ICU PHASE I RECVRY EA.ADDL 15M","code_information":[{"code":"60100001","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":331.02,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":331.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":416.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.32,"methodology":"fee schedule"}]}]},{"description":"ICU PHASE I RECVRY EA.ADDL 15M","code_information":[{"code":"60100001","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":199.54,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":343.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":199.54,"methodology":"fee schedule"}]}]},{"description":"ICU/SDC PHASEII REC EA.15MIN","code_information":[{"code":"60100506","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":190.62,"maximum":335.35,"gross_charge":353,"discounted_cash":240.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":282.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":190.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":300.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":317.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":240.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.92,"methodology":"fee schedule"}]}]},{"description":"ICU/SDC PHASEII REC EA.15MIN","code_information":[{"code":"60100506","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":114.91,"maximum":335.35,"gross_charge":353,"discounted_cash":240.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":282.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":300.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":317.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":141.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":114.91,"methodology":"fee schedule"}]}]},{"description":"ICU/SDC EXTENDD REC PER HR","code_information":[{"code":"60100509","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":73.98,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.68,"methodology":"fee schedule"}]}]},{"description":"ICU/SDC EXTENDD REC PER HR","code_information":[{"code":"60100509","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":44.6,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.6,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC LINE TUNLD W/O","code_information":[{"code":"60100801","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":673.38,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":847.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":798.08,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC LINE TUNLD W/O","code_information":[{"code":"60100801","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":405.9,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":698.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":498.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC LINE TUNLD W/PP","code_information":[{"code":"60100802","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":848.34,"maximum":1492.45,"gross_charge":1571,"discounted_cash":1070.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":848.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1335.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1005.44,"methodology":"fee schedule"}]}]},{"description":"BSP REMVL PICC LINE TUNLD W/PP","code_information":[{"code":"60100802","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":511.37,"maximum":1492.45,"gross_charge":1571,"discounted_cash":1070.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1256.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1335.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":628.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":596.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":511.37,"methodology":"fee schedule"}]}]},{"description":"ADMNSTRN INJ EA.ADDL VAC S/C/T","code_information":[{"code":"60100831","type":"CDM"},{"code":"0771","type":"RC"}],"standard_charges":[{"minimum":54,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"}]}]},{"description":"ADMNSTRN INJ EA.ADDL VAC S/C/T","code_information":[{"code":"60100831","type":"CDM"},{"code":"0771","type":"RC"}],"standard_charges":[{"minimum":32.55,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.55,"methodology":"fee schedule"}]}]},{"description":"INJ.EPIDURL STERIOD W/IMAG","code_information":[{"code":"60101114","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ.EPIDURL STERIOD W/IMAG","code_information":[{"code":"60101114","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"ICU PHASE I RECVRY 1ST HR","code_information":[{"code":"60102000","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":1313.28,"maximum":2310.4,"gross_charge":2432,"discounted_cash":1656.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1945.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2067.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2188.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1653.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1556.48,"methodology":"fee schedule"}]}]},{"description":"ICU PHASE I RECVRY 1ST HR","code_information":[{"code":"60102000","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":791.62,"maximum":2310.4,"gross_charge":2432,"discounted_cash":1656.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1945.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1361.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2067.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2188.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":972.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":924.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":791.62,"methodology":"fee schedule"}]}]},{"description":"ICU STAY (PER HOUR)","code_information":[{"code":"60102060","type":"CDM"},{"code":"0234","type":"RC"}],"standard_charges":[{"minimum":120.96,"maximum":212.8,"gross_charge":224,"discounted_cash":152.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.36,"methodology":"fee schedule"}]}]},{"description":"ICU STAY (PER HOUR)","code_information":[{"code":"60102060","type":"CDM"},{"code":"0234","type":"RC"}],"standard_charges":[{"minimum":72.92,"maximum":212.8,"gross_charge":224,"discounted_cash":152.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":72.92,"methodology":"fee schedule"}]}]},{"description":"ROOM CHARGE-TRANSTNL CARE (S)","code_information":[{"code":"60102200","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":1333.8,"maximum":2346.5,"gross_charge":2470,"discounted_cash":1682.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2346.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1976,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1333.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2223,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2346.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2346.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2346.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE - CCU (CC)","code_information":[{"code":"60102300","type":"CDM"},{"code":"0200","type":"RC"}],"standard_charges":[{"minimum":3745.44,"maximum":6589.2,"gross_charge":6936,"discounted_cash":4725.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6589.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5548.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3745.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5895.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6242.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4716.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6589.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6589.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6589.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6589.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4439.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE-CCU/MS OVERFLOW","code_information":[{"code":"60102301","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":1668.06,"maximum":2934.55,"gross_charge":3089,"discounted_cash":2104.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2471.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1668.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2625.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2780.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2100.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1976.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"GASTRIC TUBE PLACEMENT NASO/OR","code_information":[{"code":"60105537","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":284.04,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336.64,"methodology":"fee schedule"}]}]},{"description":"GASTRIC TUBE PLACEMENT NASO/OR","code_information":[{"code":"60105537","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":171.22,"maximum":499.7,"gross_charge":526,"discounted_cash":358.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":473.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.22,"methodology":"fee schedule"}]}]},{"description":"ASPRTN/INJ THYROID CYST","code_information":[{"code":"60300","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":510.3,"maximum":897.75,"gross_charge":945,"discounted_cash":643.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":756,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":510.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":803.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":850.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":604.8,"methodology":"fee schedule"}]}]},{"description":"ASPRTN/INJ THYROID CYST","code_information":[{"code":"60300","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":307.6,"maximum":897.75,"gross_charge":945,"discounted_cash":643.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":756,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":529.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":803.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":850.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":897.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":307.6,"methodology":"fee schedule"}]}]},{"description":"ROOM CHARGE-3S MED/SUR (M)","code_information":[{"code":"62001000","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":1751.22,"maximum":3080.85,"gross_charge":3243,"discounted_cash":2209.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2594.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1751.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2918.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2075.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM/BED RESPITE CARE","code_information":[{"code":"62002400","type":"CDM"},{"code":"0115","type":"RC"}],"standard_charges":[{"minimum":259.74,"maximum":456.95,"gross_charge":481,"discounted_cash":327.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":384.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":408.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":432.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":327.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM/BED HOSPICE (GIP)","code_information":[{"code":"62002600","type":"CDM"},{"code":"0115","type":"RC"}],"standard_charges":[{"minimum":579.42,"maximum":1019.35,"gross_charge":1073,"discounted_cash":730.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":858.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":579.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":912.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":965.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":729.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1019.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1019.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":686.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"LUMBAR PUNCTURE (PROCEDURE)","code_information":[{"code":"62270","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":561.06,"maximum":987.05,"gross_charge":1039,"discounted_cash":707.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":561.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":883.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":935.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":706.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":664.96,"methodology":"fee schedule"}]}]},{"description":"LUMBAR PUNCTURE (PROCEDURE)","code_information":[{"code":"62270","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":338.2,"maximum":987.05,"gross_charge":1039,"discounted_cash":707.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":883.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":935.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"}]}]},{"description":"OP SPINAL PUNC FLU LMBR BX","code_information":[{"code":"62270","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":561.06,"maximum":987.05,"gross_charge":1039,"discounted_cash":707.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":561.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":883.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":935.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":706.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":664.96,"methodology":"fee schedule"}]}]},{"description":"OP SPINAL PUNC FLU LMBR BX","code_information":[{"code":"62270","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":338.2,"maximum":987.05,"gross_charge":1039,"discounted_cash":707.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":883.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":935.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":987.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"}]}]},{"description":"PUNCTURE SPINE/LUMBAR DX","code_information":[{"code":"62270","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":488.16,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":614.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":578.56,"methodology":"fee schedule"}]}]},{"description":"PUNCTURE SPINE/LUMBAR DX","code_information":[{"code":"62270","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":294.26,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":361.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":343.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"}]}]},{"description":"INJ.ADMIN.EPIIDRL BLD/CLOT PTC","code_information":[{"code":"62273","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":663.66,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":663.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":835.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":786.56,"methodology":"fee schedule"}]}]},{"description":"INJ.ADMIN.EPIIDRL BLD/CLOT PTC","code_information":[{"code":"62273","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":400.04,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":688.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":491.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":400.04,"methodology":"fee schedule"}]}]},{"description":"INJ.BLOOD PATCH","code_information":[{"code":"62273","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":663.66,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":663.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":835.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":786.56,"methodology":"fee schedule"}]}]},{"description":"INJ.BLOOD PATCH","code_information":[{"code":"62273","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":400.04,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":688.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":491.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":400.04,"methodology":"fee schedule"}]}]},{"description":"OP EPIDURAL BLOOD/CLT PATCH","code_information":[{"code":"62273","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":663.66,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":663.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":835.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":786.56,"methodology":"fee schedule"}]}]},{"description":"OP EPIDURAL BLOOD/CLT PATCH","code_information":[{"code":"62273","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":400.04,"maximum":1167.55,"gross_charge":1229,"discounted_cash":837.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":983.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":688.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":491.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":400.04,"methodology":"fee schedule"}]}]},{"description":"INJ F/MYELO&TOMOGRAPHY LUMBAR","code_information":[{"code":"62284","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":442.8,"maximum":779,"gross_charge":820,"discounted_cash":558.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":656,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":697,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":738,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":557.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":524.8,"methodology":"fee schedule"}]}]},{"description":"INJ F/MYELO&TOMOGRAPHY LUMBAR","code_information":[{"code":"62284","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":266.91,"maximum":779,"gross_charge":820,"discounted_cash":558.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":656,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":459.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":697,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":738,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":328,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":779,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":266.91,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CERVICL/THORAIC SNGL INJ","code_information":[{"code":"62320","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":560.52,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":705.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CERVICL/THORAIC SNGL INJ","code_information":[{"code":"62320","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":337.87,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":337.87,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CERV/THOR SNGL W/IMAGE","code_information":[{"code":"62321","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CERV/THOR SNGL W/IMAGE","code_information":[{"code":"62321","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCENTESIS TRAY","code_information":[{"code":"62321030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.44,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"}]}]},{"description":"FBC AMNIOCENTESIS TRAY","code_information":[{"code":"62321030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"}]}]},{"description":"INJECT.EPIDURAL STERIOD","code_information":[{"code":"62322","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":631.8,"maximum":1111.5,"gross_charge":1170,"discounted_cash":797.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":631.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":994.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":795.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"}]}]},{"description":"INJECT.EPIDURAL STERIOD","code_information":[{"code":"62322","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":380.84,"maximum":1111.5,"gross_charge":1170,"discounted_cash":797.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":655.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":994.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":380.84,"methodology":"fee schedule"}]}]},{"description":"BLOCK-LUMB/CAUD SNGL W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"BLOCK-LUMB/CAUD SNGL W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"INJ SNGL ESI LUMBAR W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ SNGL ESI LUMBAR W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"INJ.EPIDURAL STEROID W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ.EPIDURAL STEROID W/IMAGE","code_information":[{"code":"62323","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE (VR416 VICRYL/J-3)","code_information":[{"code":"62323001","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.24,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.84,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE (VR416 VICRYL/J-3)","code_information":[{"code":"62323001","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.23,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE X932 VICRYL","code_information":[{"code":"62323003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.94,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE X932 VICRYL","code_information":[{"code":"62323003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.14,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.14,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE VR932 VICRYL","code_information":[{"code":"62323005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.16,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.56,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE VR932 VICRYL","code_information":[{"code":"62323005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":33.86,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.86,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE J532","code_information":[{"code":"62323011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.84,"maximum":91.2,"gross_charge":96,"discounted_cash":65.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE J532","code_information":[{"code":"62323011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.25,"maximum":91.2,"gross_charge":96,"discounted_cash":65.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.25,"methodology":"fee schedule"}]}]},{"description":"FBC STARTER SNS","code_information":[{"code":"62323030","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":43.2,"maximum":76,"gross_charge":80,"discounted_cash":54.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"}]}]},{"description":"FBC STARTER SNS","code_information":[{"code":"62323030","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":26.04,"maximum":76,"gross_charge":80,"discounted_cash":54.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":26.04,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT CERV/THOR W/O IMAG","code_information":[{"code":"62324","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":685.26,"maximum":1205.55,"gross_charge":1269,"discounted_cash":864.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":685.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1078.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":862.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":812.16,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT CERV/THOR W/O IMAG","code_information":[{"code":"62324","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":413.06,"maximum":1205.55,"gross_charge":1269,"discounted_cash":864.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1078.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":482.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":413.06,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT. CERV/THOR W/IMAGE","code_information":[{"code":"62325","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT. CERV/THOR W/IMAGE","code_information":[{"code":"62325","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"INJ.SPINE W/CATH C/T W/IMAGE","code_information":[{"code":"62325","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ.SPINE W/CATH C/T W/IMAGE","code_information":[{"code":"62325","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"INJ.SPINE W/CATH L/S/C W/IMAGE","code_information":[{"code":"62327","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"}]}]},{"description":"INJ.SPINE W/CATH L/S/C W/IMAGE","code_information":[{"code":"62327","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":528.94,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":650,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":617.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":528.94,"methodology":"fee schedule"}]}]},{"description":"DX LMBR SPI PNXR W/FLUOR/CT","code_information":[{"code":"62328","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":651.24,"maximum":1145.7,"gross_charge":1206,"discounted_cash":821.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":820.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":771.84,"methodology":"fee schedule"}]}]},{"description":"DX LMBR SPI PNXR W/FLUOR/CT","code_information":[{"code":"62328","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":392.56,"maximum":1145.7,"gross_charge":1206,"discounted_cash":821.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":964.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":675.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":482.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":458.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":392.56,"methodology":"fee schedule"}]}]},{"description":"POC GLUCOSE TEST","code_information":[{"code":"62330906","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.82,"maximum":31.35,"gross_charge":33,"discounted_cash":22.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":28.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":29.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.12,"methodology":"fee schedule"}]}]},{"description":"POC GLUCOSE TEST","code_information":[{"code":"62330906","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.75,"maximum":31.35,"gross_charge":33,"discounted_cash":22.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":28.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":29.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.75,"methodology":"fee schedule"}]}]},{"description":"INSRT JADA DEVICE","code_information":[{"code":"62333336","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":288.9,"maximum":508.25,"gross_charge":535,"discounted_cash":364.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":454.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":481.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":363.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":342.4,"methodology":"fee schedule"}]}]},{"description":"INSRT JADA DEVICE","code_information":[{"code":"62333336","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":174.15,"maximum":508.25,"gross_charge":535,"discounted_cash":364.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":428,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":454.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":481.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":174.15,"methodology":"fee schedule"}]}]},{"description":"PUMP ADJMNT/ELEC ANALY/REPROGM","code_information":[{"code":"62368","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":211.68,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.88,"methodology":"fee schedule"}]}]},{"description":"PUMP ADJMNT/ELEC ANALY/REPROGM","code_information":[{"code":"62368","type":"CPT"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":127.6,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":127.6,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH TRIG-DIVSN OR BRCH","code_information":[{"code":"64400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":331.02,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":331.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":416.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.32,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH TRIG-DIVSN OR BRCH","code_information":[{"code":"64400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.54,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":343.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":199.54,"methodology":"fee schedule"}]}]},{"description":"NJX AA&/STRD GR OCPL NRV ER","code_information":[{"code":"64405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":385.56,"maximum":678.3,"gross_charge":714,"discounted_cash":486.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":571.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":485.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456.96,"methodology":"fee schedule"}]}]},{"description":"NJX AA&/STRD GR OCPL NRV ER","code_information":[{"code":"64405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":232.41,"maximum":678.3,"gross_charge":714,"discounted_cash":486.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":571.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":399.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"}]}]},{"description":"BLCK-SNGL INJ BRCIAL PLEXUS GD","code_information":[{"code":"64415","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1232.82,"maximum":2168.85,"gross_charge":2283,"discounted_cash":1555.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1826.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1232.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1940.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2054.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1552.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1461.12,"methodology":"fee schedule"}]}]},{"description":"BLCK-SNGL INJ BRCIAL PLEXUS GD","code_information":[{"code":"64415","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":743.12,"maximum":2168.85,"gross_charge":2283,"discounted_cash":1555.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1826.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1940.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2054.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":913.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2168.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":867.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":743.12,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESAGT;BRCH PLXUS SGL WGD","code_information":[{"code":"64415","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1128.6,"maximum":1985.5,"gross_charge":2090,"discounted_cash":1423.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1776.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1337.6,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESAGT;BRCH PLXUS SGL WGD","code_information":[{"code":"64415","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":680.3,"maximum":1985.5,"gross_charge":2090,"discounted_cash":1423.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1776.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":836,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":680.3,"methodology":"fee schedule"}]}]},{"description":"INJ. BLCK CONT INFSE BPLEX WGD","code_information":[{"code":"64416","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1185.3,"maximum":2085.25,"gross_charge":2195,"discounted_cash":1495.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1756,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1185.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1865.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1975.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1492.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1404.8,"methodology":"fee schedule"}]}]},{"description":"INJ. BLCK CONT INFSE BPLEX WGD","code_information":[{"code":"64416","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":714.48,"maximum":2085.25,"gross_charge":2195,"discounted_cash":1495.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1756,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1229.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1865.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1975.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":878,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":714.48,"methodology":"fee schedule"}]}]},{"description":"BLOCK-AXILLARY NERVE WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1211.76,"maximum":2131.8,"gross_charge":2244,"discounted_cash":1528.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1795.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1211.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1907.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2019.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1436.16,"methodology":"fee schedule"}]}]},{"description":"BLOCK-AXILLARY NERVE WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":730.43,"maximum":2131.8,"gross_charge":2244,"discounted_cash":1528.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1795.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1256.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1907.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2019.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":897.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":852.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":730.43,"methodology":"fee schedule"}]}]},{"description":"INJ AXILLARY NERVE BLOCK WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1202.04,"maximum":2114.7,"gross_charge":2226,"discounted_cash":1516.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1202.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2003.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1513.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1424.64,"methodology":"fee schedule"}]}]},{"description":"INJ AXILLARY NERVE BLOCK WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":724.57,"maximum":2114.7,"gross_charge":2226,"discounted_cash":1516.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1246.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2003.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":890.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":845.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":724.57,"methodology":"fee schedule"}]}]},{"description":"INJ.ANES AGNT AXILARY NRVE WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1109.16,"maximum":1951.3,"gross_charge":2054,"discounted_cash":1399.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1109.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1848.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1314.56,"methodology":"fee schedule"}]}]},{"description":"INJ.ANES AGNT AXILARY NRVE WGD","code_information":[{"code":"64417","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":668.58,"maximum":1951.3,"gross_charge":2054,"discounted_cash":1399.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1150.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1848.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":821.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":780.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":668.58,"methodology":"fee schedule"}]}]},{"description":"BLOCK-INTERCOSTAL SNGL LV","code_information":[{"code":"64420","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"BLOCK-INTERCOSTAL SNGL LV","code_information":[{"code":"64420","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"INJ INTERCOSTAL BLK SNGL LV","code_information":[{"code":"64420","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"INJ INTERCOSTAL BLK SNGL LV","code_information":[{"code":"64420","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"BLOCK-INTERCOSTAL EA ADDL LV","code_information":[{"code":"64421","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"BLOCK-INTERCOSTAL EA ADDL LV","code_information":[{"code":"64421","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"INJ INTERCOSTAL BLK EA ADDL LV","code_information":[{"code":"64421","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"INJ INTERCOSTAL BLK EA ADDL LV","code_information":[{"code":"64421","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"ILIO-INGUINAL/-HYPOGAST BLOCK","code_information":[{"code":"64425","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"ILIO-INGUINAL/-HYPOGAST BLOCK","code_information":[{"code":"64425","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"INJ NERVES AA&/STRD II IH","code_information":[{"code":"64425","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":665.28,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":788.48,"methodology":"fee schedule"}]}]},{"description":"INJ NERVES AA&/STRD II IH","code_information":[{"code":"64425","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":401.02,"maximum":1170.4,"gross_charge":1232,"discounted_cash":839.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":689.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.02,"methodology":"fee schedule"}]}]},{"description":"BLOCK-SCIATIC NERVE WGD","code_information":[{"code":"64445","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1069.2,"maximum":1881,"gross_charge":1980,"discounted_cash":1348.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1584,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1683,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1782,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1346.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1267.2,"methodology":"fee schedule"}]}]},{"description":"BLOCK-SCIATIC NERVE WGD","code_information":[{"code":"64445","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":644.49,"maximum":1881,"gross_charge":1980,"discounted_cash":1348.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1584,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1683,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1782,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":792,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":752.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":644.49,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESAGT;SIATIC NRVE SGL GD","code_information":[{"code":"64445","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":979.02,"maximum":1722.35,"gross_charge":1813,"discounted_cash":1235.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":979.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1541.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1232.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1160.32,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESAGT;SIATIC NRVE SGL GD","code_information":[{"code":"64445","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":590.14,"maximum":1722.35,"gross_charge":1813,"discounted_cash":1235.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1541.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1631.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":725.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":688.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":590.14,"methodology":"fee schedule"}]}]},{"description":"BLCK-SNGL INJ FEMORAL NRVE WGD","code_information":[{"code":"64447","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1305.72,"maximum":2297.1,"gross_charge":2418,"discounted_cash":1647.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1934.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1305.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2055.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1644.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1547.52,"methodology":"fee schedule"}]}]},{"description":"BLCK-SNGL INJ FEMORAL NRVE WGD","code_information":[{"code":"64447","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":787.06,"maximum":2297.1,"gross_charge":2418,"discounted_cash":1647.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1934.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1354.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2055.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":967.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2297.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":918.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":787.06,"methodology":"fee schedule"}]}]},{"description":"INJ.BLCK FEMORAL NRVE SNGL","code_information":[{"code":"64447","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1188.54,"maximum":2090.95,"gross_charge":2201,"discounted_cash":1499.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1870.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1496.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1408.64,"methodology":"fee schedule"}]}]},{"description":"INJ.BLCK FEMORAL NRVE SNGL","code_information":[{"code":"64447","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":716.43,"maximum":2090.95,"gross_charge":2201,"discounted_cash":1499.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1232.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1870.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":880.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":836.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":716.43,"methodology":"fee schedule"}]}]},{"description":"INJ.BLCK FEMORAL NRVE SNGL WGD","code_information":[{"code":"64447","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":933.12,"maximum":1641.6,"gross_charge":1728,"discounted_cash":1177.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":933.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1555.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1105.92,"methodology":"fee schedule"}]}]},{"description":"INJ.BLCK FEMORAL NRVE SNGL WGD","code_information":[{"code":"64447","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":562.47,"maximum":1641.6,"gross_charge":1728,"discounted_cash":1177.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":967.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1555.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":691.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":656.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":562.47,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT. FEMERAL NERVE WGD","code_information":[{"code":"64448","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2115.72,"maximum":3722.1,"gross_charge":3918,"discounted_cash":2669.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2115.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3330.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2664.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2507.52,"methodology":"fee schedule"}]}]},{"description":"BLOCK-CONT. FEMERAL NERVE WGD","code_information":[{"code":"64448","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1275.31,"maximum":3722.1,"gross_charge":3918,"discounted_cash":2669.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2194.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3330.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1567.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1488.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1275.31,"methodology":"fee schedule"}]}]},{"description":"FEM NERVE BLOCK CONTINOUS WGD","code_information":[{"code":"64448","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1662.66,"maximum":2925.05,"gross_charge":3079,"discounted_cash":2097.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2463.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2771.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2093.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1970.56,"methodology":"fee schedule"}]}]},{"description":"FEM NERVE BLOCK CONTINOUS WGD","code_information":[{"code":"64448","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1002.22,"maximum":2925.05,"gross_charge":3079,"discounted_cash":2097.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2463.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2771.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1231.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1170.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1002.22,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESTH PERIPHERAL NERVE","code_information":[{"code":"64450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":666.36,"maximum":1172.3,"gross_charge":1234,"discounted_cash":840.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":987.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":666.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1110.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":839.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":789.76,"methodology":"fee schedule"}]}]},{"description":"INJ.ANESTH PERIPHERAL NERVE","code_information":[{"code":"64450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":401.67,"maximum":1172.3,"gross_charge":1234,"discounted_cash":840.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":987.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":691.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1110.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":493.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.67,"methodology":"fee schedule"}]}]},{"description":"NRV BLOCK OTHER PERIPHERAL","code_information":[{"code":"64450","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":459,"maximum":807.5,"gross_charge":850,"discounted_cash":579.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":459,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":722.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":578,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":544,"methodology":"fee schedule"}]}]},{"description":"NRV BLOCK OTHER PERIPHERAL","code_information":[{"code":"64450","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":276.68,"maximum":807.5,"gross_charge":850,"discounted_cash":579.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":476,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":722.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":340,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":807.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":323,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":276.68,"methodology":"fee schedule"}]}]},{"description":"INJ AA&/STRD GNCLR NRV BRNCH","code_information":[{"code":"64454","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":540,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":640,"methodology":"fee schedule"}]}]},{"description":"INJ AA&/STRD GNCLR NRV BRNCH","code_information":[{"code":"64454","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":325.5,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":325.5,"methodology":"fee schedule"}]}]},{"description":"INJ STRD GNCLR NRB BRNCH","code_information":[{"code":"64454","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":540,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":640,"methodology":"fee schedule"}]}]},{"description":"INJ STRD GNCLR NRB BRNCH","code_information":[{"code":"64454","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":325.5,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":325.5,"methodology":"fee schedule"}]}]},{"description":"PVB CONT INFUS BY CATH W/IMAG","code_information":[{"code":"64463","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":488.16,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":614.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":578.56,"methodology":"fee schedule"}]}]},{"description":"PVB CONT INFUS BY CATH W/IMAG","code_information":[{"code":"64463","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":294.26,"maximum":858.8,"gross_charge":904,"discounted_cash":615.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":813.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":361.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":343.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":294.26,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL SNG LVL","code_information":[{"code":"64483","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1067.04,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1264.64,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL SNG LVL","code_information":[{"code":"64483","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":643.19,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":750.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":643.19,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL SNG LVL","code_information":[{"code":"64483","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1067.04,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1264.64,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL SNG LVL","code_information":[{"code":"64483","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":643.19,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":750.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":643.19,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL ADDL LV","code_information":[{"code":"64484","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":410.94,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":517.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.04,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL ADDL LV","code_information":[{"code":"64484","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":247.71,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":247.71,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL ADDL LV","code_information":[{"code":"64484","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":410.94,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":517.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.04,"methodology":"fee schedule"}]}]},{"description":"TRNSFRML INJ LMBR/SCRL ADDL LV","code_information":[{"code":"64484","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":247.71,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":247.71,"methodology":"fee schedule"}]}]},{"description":"UNILATERAL ABDOMEN 1 SIDED TAP","code_information":[{"code":"64486","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":588.6,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":697.6,"methodology":"fee schedule"}]}]},{"description":"UNILATERAL ABDOMEN 1 SIDED TAP","code_information":[{"code":"64486","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":354.8,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":354.8,"methodology":"fee schedule"}]}]},{"description":"UNILATERAL ABDOMEN 1 SIDED TAP","code_information":[{"code":"64486","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":588.6,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":697.6,"methodology":"fee schedule"}]}]},{"description":"UNILATERAL ABDOMEN 1 SIDED TAP","code_information":[{"code":"64486","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":354.8,"maximum":1035.5,"gross_charge":1090,"discounted_cash":742.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":926.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":981,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":354.8,"methodology":"fee schedule"}]}]},{"description":"BLOCK - TAP BILAT","code_information":[{"code":"64488","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":675.54,"maximum":1188.45,"gross_charge":1251,"discounted_cash":852.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":675.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1063.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1125.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":850.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":800.64,"methodology":"fee schedule"}]}]},{"description":"BLOCK - TAP BILAT","code_information":[{"code":"64488","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":407.21,"maximum":1188.45,"gross_charge":1251,"discounted_cash":852.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":700.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1063.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1125.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":500.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1188.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":407.21,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S SNGL LVL","code_information":[{"code":"64493","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1067.04,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1264.64,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S SNGL LVL","code_information":[{"code":"64493","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":643.19,"maximum":1877.2,"gross_charge":1976,"discounted_cash":1346.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":750.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":643.19,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S 2ND LVL","code_information":[{"code":"64494","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":410.94,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":517.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.04,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S 2ND LVL","code_information":[{"code":"64494","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":247.71,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":247.71,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S 3RD+ADDL","code_information":[{"code":"64495","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":410.94,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":517.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.04,"methodology":"fee schedule"}]}]},{"description":"INJ.PARAVERTEBRAL L/S 3RD+ADDL","code_information":[{"code":"64495","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":247.71,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":247.71,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH SPHNPLTN GANGLN","code_information":[{"code":"64505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":331.02,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":331.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":416.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.32,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH SPHNPLTN GANGLN","code_information":[{"code":"64505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.54,"maximum":582.35,"gross_charge":613,"discounted_cash":417.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":343.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":521.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":551.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":199.54,"methodology":"fee schedule"}]}]},{"description":"INJ BLOCK STELLATE GANGLION","code_information":[{"code":"64510","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1087.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1288.96,"methodology":"fee schedule"}]}]},{"description":"INJ BLOCK STELLATE GANGLION","code_information":[{"code":"64510","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":655.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":805.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":655.56,"methodology":"fee schedule"}]}]},{"description":"INJ BLOCK STELLATE GANGLION","code_information":[{"code":"64510","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":1087.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1288.96,"methodology":"fee schedule"}]}]},{"description":"INJ BLOCK STELLATE GANGLION","code_information":[{"code":"64510","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":655.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":805.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":655.56,"methodology":"fee schedule"}]}]},{"description":"IMPLANT NEUROELECTRODES (PERC)","code_information":[{"code":"64561","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4941,"maximum":8692.5,"gross_charge":9150,"discounted_cash":6233.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":7320,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4941,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7777.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":8235,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6222,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5856,"methodology":"fee schedule"}]}]},{"description":"IMPLANT NEUROELECTRODES (PERC)","code_information":[{"code":"64561","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2978.33,"maximum":8692.5,"gross_charge":9150,"discounted_cash":6233.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":7320,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5124,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7777.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":8235,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3660,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":8692.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3477,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2978.33,"methodology":"fee schedule"}]}]},{"description":"INST/REDO PN/STIMULATOR","code_information":[{"code":"64590","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":5735.88,"maximum":10090.9,"gross_charge":10622,"discounted_cash":7236.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8497.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5735.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":9028.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9559.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7222.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6798.08,"methodology":"fee schedule"}]}]},{"description":"INST/REDO PN/STIMULATOR","code_information":[{"code":"64590","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3457.47,"maximum":10090.9,"gross_charge":10622,"discounted_cash":7236.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8497.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5948.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":9028.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9559.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4248.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":10090.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4036.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3457.47,"methodology":"fee schedule"}]}]},{"description":"DESTRCT NEURLTIC AGNT PERI NRV","code_information":[{"code":"64640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":685.26,"maximum":1205.55,"gross_charge":1269,"discounted_cash":864.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":685.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1078.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":862.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":812.16,"methodology":"fee schedule"}]}]},{"description":"DESTRCT NEURLTIC AGNT PERI NRV","code_information":[{"code":"64640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":413.06,"maximum":1205.55,"gross_charge":1269,"discounted_cash":864.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1015.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1078.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":482.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":413.06,"methodology":"fee schedule"}]}]},{"description":"SLEEVE PROTECTION 6X9IN STRL","code_information":[{"code":"648672","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.88,"maximum":68.4,"gross_charge":72,"discounted_cash":49.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"}]}]},{"description":"SLEEVE PROTECTION 6X9IN STRL","code_information":[{"code":"648672","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.44,"maximum":68.4,"gross_charge":72,"discounted_cash":49.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.44,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH AGNT CERVCL PLEXUS","code_information":[{"code":"64999","type":"CPT"},{"code":"0960","type":"RC"}],"standard_charges":[{"minimum":486.54,"maximum":855.95,"gross_charge":901,"discounted_cash":613.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":486.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":576.64,"methodology":"fee schedule"}]}]},{"description":"INJ ANESTH AGNT CERVCL PLEXUS","code_information":[{"code":"64999","type":"CPT"},{"code":"0960","type":"RC"}],"standard_charges":[{"minimum":293.28,"maximum":855.95,"gross_charge":901,"discounted_cash":613.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":504.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":342.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":293.28,"methodology":"fee schedule"}]}]},{"description":"INJ ANS AGNT PERICPSLR NRV GRP","code_information":[{"code":"64999","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":486.54,"maximum":855.95,"gross_charge":901,"discounted_cash":613.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":486.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":576.64,"methodology":"fee schedule"}]}]},{"description":"INJ ANS AGNT PERICPSLR NRV GRP","code_information":[{"code":"64999","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":293.28,"maximum":855.95,"gross_charge":901,"discounted_cash":613.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":504.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":342.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":293.28,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (PK-PHAKIC)","code_information":[{"code":"65730","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4145.58,"maximum":7293.15,"gross_charge":7677,"discounted_cash":5229.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4145.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6525.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6909.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5220.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4913.28,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (PK-PHAKIC)","code_information":[{"code":"65730","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2498.87,"maximum":7293.15,"gross_charge":7677,"discounted_cash":5229.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4299.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6525.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6909.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2917.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2498.87,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (PK-PSEUDOPHAKIA)","code_information":[{"code":"65755","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4145.58,"maximum":7293.15,"gross_charge":7677,"discounted_cash":5229.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4145.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6525.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6909.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5220.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4913.28,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (PK-PSEUDOPHAKIA)","code_information":[{"code":"65755","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2498.87,"maximum":7293.15,"gross_charge":7677,"discounted_cash":5229.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4299.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6525.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6909.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7293.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2917.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2498.87,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (DMEK)","code_information":[{"code":"65756","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3305.34,"maximum":5814.95,"gross_charge":6121,"discounted_cash":4169.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3305.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5202.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5508.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4162.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3917.44,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (DMEK)","code_information":[{"code":"65756","type":"CPT"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1992.39,"maximum":5814.95,"gross_charge":6121,"discounted_cash":4169.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3427.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5202.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5508.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2448.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5814.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2325.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1992.39,"methodology":"fee schedule"}]}]},{"description":"NURSERY PKU KIT","code_information":[{"code":"66001600","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":109.62,"maximum":192.85,"gross_charge":203,"discounted_cash":138.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":172.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":182.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.92,"methodology":"fee schedule"}]}]},{"description":"NURSERY PKU KIT","code_information":[{"code":"66001600","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":66.08,"maximum":192.85,"gross_charge":203,"discounted_cash":138.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":172.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":182.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":66.08,"methodology":"fee schedule"}]}]},{"description":"ROOM CHARGE-NURS NEWBORN ROUTN","code_information":[{"code":"66002070","type":"CDM"},{"code":"0170","type":"RC"}],"standard_charges":[{"minimum":877.5,"maximum":1543.75,"gross_charge":1625,"discounted_cash":1107.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1381.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1105,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1040,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE-NURS L1 NEWBORN","code_information":[{"code":"66002071","type":"CDM"},{"code":"0171","type":"RC"}],"standard_charges":[{"minimum":1251.18,"maximum":2201.15,"gross_charge":2317,"discounted_cash":1578.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2201.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1853.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1251.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1969.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2085.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1575.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2201.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2201.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2201.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2201.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1482.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE-NURS L2 CONTNU CAR","code_information":[{"code":"66002072","type":"CDM"},{"code":"0172","type":"RC"}],"standard_charges":[{"minimum":1668.06,"maximum":2934.55,"gross_charge":3089,"discounted_cash":2104.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2471.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1668.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2625.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2780.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2100.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1976.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE-NURS L3 INTMD CARE","code_information":[{"code":"66002073","type":"CDM"},{"code":"0173","type":"RC"}],"standard_charges":[{"minimum":2675.7,"maximum":4707.25,"gross_charge":4955,"discounted_cash":3375.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4707.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3964,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2675.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4211.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4459.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3369.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4707.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4707.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4707.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4707.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3171.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"ROOM CHARGE-NURS L4 ICU CARE","code_information":[{"code":"66002074","type":"CDM"},{"code":"0174","type":"RC"}],"standard_charges":[{"minimum":3566.7,"maximum":6274.75,"gross_charge":6605,"discounted_cash":4499.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6274.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5284,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3566.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5614.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5944.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4491.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6274.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6274.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6274.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6274.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4227.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5438,"methodology":"per diem"}]}]},{"description":"BLEPHAROTOMY D OF EYELID","code_information":[{"code":"67700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":486,"maximum":855,"gross_charge":900,"discounted_cash":613.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":486,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":576,"methodology":"fee schedule"}]}]},{"description":"BLEPHAROTOMY D OF EYELID","code_information":[{"code":"67700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":292.95,"maximum":855,"gross_charge":900,"discounted_cash":613.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":292.95,"methodology":"fee schedule"}]}]},{"description":"INCISN CANTHOTOMY EYELID","code_information":[{"code":"67715","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1512.54,"maximum":2660.95,"gross_charge":2801,"discounted_cash":1908.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2240.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1512.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2380.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2520.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1904.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1792.64,"methodology":"fee schedule"}]}]},{"description":"INCISN CANTHOTOMY EYELID","code_information":[{"code":"67715","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":911.73,"maximum":2660.95,"gross_charge":2801,"discounted_cash":1908.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2240.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1568.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2380.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2520.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1120.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2660.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1064.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":911.73,"methodology":"fee schedule"}]}]},{"description":"I&D EXTRNL EAR ABSC/HEMTA SMPL","code_information":[{"code":"69000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":234.36,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":234.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.76,"methodology":"fee schedule"}]}]},{"description":"I&D EXTRNL EAR ABSC/HEMTA SMPL","code_information":[{"code":"69000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.27,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":141.27,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/I/L UNILT","code_information":[{"code":"69209","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":106.92,"maximum":188.1,"gross_charge":198,"discounted_cash":134.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":178.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.72,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/I/L UNILT","code_information":[{"code":"69209","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":64.45,"maximum":188.1,"gross_charge":198,"discounted_cash":134.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":178.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.45,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/INSTRT","code_information":[{"code":"69210","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":153.9,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/INSTRT","code_information":[{"code":"69210","type":"CPT"},{"code":"0964","type":"RC"}],"standard_charges":[{"minimum":92.77,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.77,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/INSTRTN(R","code_information":[{"code":"69210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":153.9,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"}]}]},{"description":"REMVL IMPCTD CERMN W/INSTRTN(R","code_information":[{"code":"69210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":92.77,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.77,"methodology":"fee schedule"}]}]},{"description":"FBC DELIVERY-ROUTINE","code_information":[{"code":"70001500","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":1614.6,"maximum":2840.5,"gross_charge":2990,"discounted_cash":2036.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2392,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1614.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2541.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2691,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2033.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1913.6,"methodology":"fee schedule"}]}]},{"description":"FBC DELIVERY-ROUTINE","code_information":[{"code":"70001500","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":973.25,"maximum":2840.5,"gross_charge":2990,"discounted_cash":2036.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2392,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1674.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2541.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2691,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1196,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1136.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":973.25,"methodology":"fee schedule"}]}]},{"description":"FBC DELIVERY NON-ROUTINE","code_information":[{"code":"70002000","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":2462.4,"maximum":4332,"gross_charge":4560,"discounted_cash":3106.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2462.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3876,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4104,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3100.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2918.4,"methodology":"fee schedule"}]}]},{"description":"FBC DELIVERY NON-ROUTINE","code_information":[{"code":"70002000","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":1484.28,"maximum":4332,"gross_charge":4560,"discounted_cash":3106.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2553.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3876,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4104,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1824,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4332,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1484.28,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - NON EMERGENCY","code_information":[{"code":"70002525","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":744.66,"maximum":1310.05,"gross_charge":1379,"discounted_cash":939.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":937.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":882.56,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - NON EMERGENCY","code_information":[{"code":"70002525","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":448.87,"maximum":1310.05,"gross_charge":1379,"discounted_cash":939.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":772.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1172.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":551.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":524.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":448.87,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - EMERGENCY","code_information":[{"code":"70002550","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":916.38,"maximum":1612.15,"gross_charge":1697,"discounted_cash":1156.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":916.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1527.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1086.08,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - EMERGENCY","code_information":[{"code":"70002550","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":552.38,"maximum":1612.15,"gross_charge":1697,"discounted_cash":1156.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":950.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1527.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":678.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1612.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":644.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":552.38,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - SCHEDULED","code_information":[{"code":"70003000","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":288.36,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":363.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.76,"methodology":"fee schedule"}]}]},{"description":"FBC C-SECTION - SCHEDULED","code_information":[{"code":"70003000","type":"CDM"},{"code":"0722","type":"RC"}],"standard_charges":[{"minimum":173.82,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":173.82,"methodology":"fee schedule"}]}]},{"description":"XR MANDIBLE-PARTIAL < 4 VIEWS","code_information":[{"code":"70100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":230.58,"maximum":405.65,"gross_charge":427,"discounted_cash":290.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":341.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":384.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":290.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.28,"methodology":"fee schedule"}]}]},{"description":"XR MANDIBLE-PARTIAL < 4 VIEWS","code_information":[{"code":"70100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":31.06,"maximum":405.65,"gross_charge":427,"discounted_cash":290.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":71.71,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":384.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":138.99,"methodology":"fee schedule"}]}]},{"description":"PROC DENTAL (AUGMNTATN-MAC)","code_information":[{"code":"70100200","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":440.1,"maximum":774.25,"gross_charge":815,"discounted_cash":555.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":652,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":692.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":733.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":554.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":521.6,"methodology":"fee schedule"}]}]},{"description":"PROC DENTAL (AUGMNTATN-MAC)","code_information":[{"code":"70100200","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":265.29,"maximum":774.25,"gross_charge":815,"discounted_cash":555.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":652,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":692.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":733.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":326,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":774.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":265.29,"methodology":"fee schedule"}]}]},{"description":"PROC DENTAL (AUGMNTATN-GEN)","code_information":[{"code":"70100205","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":610.2,"maximum":1073.5,"gross_charge":1130,"discounted_cash":769.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":904,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":960.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1017,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":768.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":723.2,"methodology":"fee schedule"}]}]},{"description":"PROC DENTAL (AUGMNTATN-GEN)","code_information":[{"code":"70100205","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":367.82,"maximum":1073.5,"gross_charge":1130,"discounted_cash":769.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":904,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":632.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":960.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1017,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":452,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":429.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":367.82,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 (0-60 MIN.)","code_information":[{"code":"70100510","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2125.98,"maximum":3740.15,"gross_charge":3937,"discounted_cash":2682.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3149.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2125.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3346.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3543.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2677.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2519.68,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 (0-60 MIN.)","code_information":[{"code":"70100510","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1281.5,"maximum":3740.15,"gross_charge":3937,"discounted_cash":2682.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3149.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2204.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3346.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3543.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1574.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3740.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1496.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1281.5,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 (EA.ADDL 15MIN)","code_information":[{"code":"70100512","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":500.04,"maximum":879.7,"gross_charge":926,"discounted_cash":630.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":787.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":833.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":629.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":592.64,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 (EA.ADDL 15MIN)","code_information":[{"code":"70100512","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":301.42,"maximum":879.7,"gross_charge":926,"discounted_cash":630.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":518.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":787.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":833.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":370.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":301.42,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 EMERG (0-60MIN.)","code_information":[{"code":"70100514","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2275.56,"maximum":4003.3,"gross_charge":4214,"discounted_cash":2870.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3581.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3792.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2865.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2696.96,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 EMERG (0-60MIN.)","code_information":[{"code":"70100514","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1371.66,"maximum":4003.3,"gross_charge":4214,"discounted_cash":2870.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2359.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3581.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3792.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1685.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4003.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1601.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1371.66,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100516","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":540.54,"maximum":950.95,"gross_charge":1001,"discounted_cash":681.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":540.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":680.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":640.64,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 1 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100516","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":325.83,"maximum":950.95,"gross_charge":1001,"discounted_cash":681.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":400.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":325.83,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 (0-60 MIN.)","code_information":[{"code":"70100520","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2482.38,"maximum":4367.15,"gross_charge":4597,"discounted_cash":3131.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2482.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3907.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4137.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3125.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2942.08,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 (0-60 MIN.)","code_information":[{"code":"70100520","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1496.33,"maximum":4367.15,"gross_charge":4597,"discounted_cash":3131.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2574.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3907.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4137.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4367.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1746.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1496.33,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 (EA.ADDL 15MIN)","code_information":[{"code":"70100522","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":623.7,"maximum":1097.25,"gross_charge":1155,"discounted_cash":786.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":623.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":981.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":785.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":739.2,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 (EA.ADDL 15MIN)","code_information":[{"code":"70100522","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":375.96,"maximum":1097.25,"gross_charge":1155,"discounted_cash":786.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":646.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":981.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":462,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":375.96,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 EMERG (0-60 MIN.)","code_information":[{"code":"70100524","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2679.48,"maximum":4713.9,"gross_charge":4962,"discounted_cash":3380.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3969.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2679.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4217.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4465.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3374.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3175.68,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 EMERG (0-60 MIN.)","code_information":[{"code":"70100524","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1615.14,"maximum":4713.9,"gross_charge":4962,"discounted_cash":3380.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3969.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4217.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4465.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1984.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4713.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1885.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1615.14,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100526","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":629.1,"maximum":1106.75,"gross_charge":1165,"discounted_cash":793.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":932,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":629.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":990.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":792.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":745.6,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 2 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100526","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":379.21,"maximum":1106.75,"gross_charge":1165,"discounted_cash":793.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":932,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":990.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":466,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":379.21,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 (0-60 MIN.)","code_information":[{"code":"70100530","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2934.36,"maximum":5162.3,"gross_charge":5434,"discounted_cash":3701.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2934.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4618.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4890.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3695.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3477.76,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 (0-60 MIN.)","code_information":[{"code":"70100530","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1768.77,"maximum":5162.3,"gross_charge":5434,"discounted_cash":3701.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3043.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4618.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4890.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2173.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5162.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2064.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1768.77,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 (EA.ADDL 15MIN)","code_information":[{"code":"70100532","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":737.1,"maximum":1296.75,"gross_charge":1365,"discounted_cash":929.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1092,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":737.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 (EA.ADDL 15MIN)","code_information":[{"code":"70100532","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":444.31,"maximum":1296.75,"gross_charge":1365,"discounted_cash":929.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1092,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":764.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":546,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":444.31,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 EMERG(0-60 MIN.)","code_information":[{"code":"70100534","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2961.9,"maximum":5210.75,"gross_charge":5485,"discounted_cash":3736.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4388,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2961.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4662.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4936.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3729.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3510.4,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 EMERG(0-60 MIN.)","code_information":[{"code":"70100534","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1785.37,"maximum":5210.75,"gross_charge":5485,"discounted_cash":3736.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4388,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3071.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4662.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4936.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2194,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5210.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2084.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1785.37,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100536","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":742.5,"maximum":1306.25,"gross_charge":1375,"discounted_cash":936.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":742.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":935,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":880,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 3 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100536","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":447.57,"maximum":1306.25,"gross_charge":1375,"discounted_cash":936.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":770,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":550,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":522.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":447.57,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 (0-60MIN.)","code_information":[{"code":"70100540","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4174.2,"maximum":7343.5,"gross_charge":7730,"discounted_cash":5266.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6184,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4174.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6570.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6957,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5256.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4947.2,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 (0-60MIN.)","code_information":[{"code":"70100540","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2516.12,"maximum":7343.5,"gross_charge":7730,"discounted_cash":5266.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6184,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4328.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6570.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6957,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3092,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7343.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2937.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2516.12,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 (EA.ADDL 15MIN)","code_information":[{"code":"70100542","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1049.22,"maximum":1845.85,"gross_charge":1943,"discounted_cash":1323.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1049.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1651.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1748.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1243.52,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 (EA.ADDL 15MIN)","code_information":[{"code":"70100542","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":632.45,"maximum":1845.85,"gross_charge":1943,"discounted_cash":1323.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1088.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1651.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1748.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":777.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1845.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":738.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":632.45,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 EMERG(0-60MIN.)","code_information":[{"code":"70100544","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":4509.54,"maximum":7933.45,"gross_charge":8351,"discounted_cash":5689.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6680.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4509.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7098.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7515.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5678.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5344.64,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 EMERG(0-60MIN.)","code_information":[{"code":"70100544","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2718.26,"maximum":7933.45,"gross_charge":8351,"discounted_cash":5689.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6680.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4676.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":7098.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7515.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3340.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7933.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3173.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2718.26,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100546","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1132.92,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1426.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1342.72,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 4 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100546","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":682.9,"maximum":1993.1,"gross_charge":2098,"discounted_cash":1429.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":839.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":797.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":682.9,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 5 ORTHO (0-60MIN)","code_information":[{"code":"70100550","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":5119.2,"maximum":9006,"gross_charge":9480,"discounted_cash":6458.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":7584,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5119.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8058,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":8532,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6446.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6067.2,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 5 ORTHO (0-60MIN)","code_information":[{"code":"70100550","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3085.74,"maximum":9006,"gross_charge":9480,"discounted_cash":6458.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":7584,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5308.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8058,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":8532,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3792,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9006,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3602.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3085.74,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 5 ORTHO(EA.ADDL 15M)","code_information":[{"code":"70100552","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1221.48,"maximum":2148.9,"gross_charge":2262,"discounted_cash":1540.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1221.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2035.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1538.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1447.68,"methodology":"fee schedule"}]}]},{"description":"OR LEVEL 5 ORTHO(EA.ADDL 15M)","code_information":[{"code":"70100552","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":736.29,"maximum":2148.9,"gross_charge":2262,"discounted_cash":1540.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1266.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2035.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":904.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2148.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":859.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":736.29,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-UNILAT (ESWL)","code_information":[{"code":"70100600","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":9784.26,"maximum":17213.05,"gross_charge":18119,"discounted_cash":12343.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14495.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9784.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15401.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16307.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12320.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11596.16,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-UNILAT (ESWL)","code_information":[{"code":"70100600","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":5897.74,"maximum":17213.05,"gross_charge":18119,"discounted_cash":12343.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14495.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10146.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15401.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16307.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7247.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17213.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6885.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5897.74,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-BILAT (ESWL)","code_information":[{"code":"70100605","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":13176,"maximum":23180,"gross_charge":24400,"discounted_cash":16622.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19520,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13176,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20740,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21960,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16592,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15616,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-BILAT (ESWL)","code_information":[{"code":"70100605","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":7942.2,"maximum":23180,"gross_charge":24400,"discounted_cash":16622.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19520,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13664,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20740,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21960,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9760,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23180,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9272,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7942.2,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-LASER (STONE)","code_information":[{"code":"70100610","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":2544.48,"maximum":4476.4,"gross_charge":4712,"discounted_cash":3210.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3769.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2544.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4005.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4240.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3204.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3015.68,"methodology":"fee schedule"}]}]},{"description":"PROC LITHOTRIPSY-LASER (STONE)","code_information":[{"code":"70100610","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":1533.76,"maximum":4476.4,"gross_charge":4712,"discounted_cash":3210.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3769.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2638.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4005.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4240.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1884.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4476.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1790.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1533.76,"methodology":"fee schedule"}]}]},{"description":"PROC PVP PROSTATE","code_information":[{"code":"70100625","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":5996.16,"maximum":10548.8,"gross_charge":11104,"discounted_cash":7564.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8883.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5996.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":9438.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9993.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7550.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7106.56,"methodology":"fee schedule"}]}]},{"description":"PROC PVP PROSTATE","code_information":[{"code":"70100625","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3614.36,"maximum":10548.8,"gross_charge":11104,"discounted_cash":7564.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8883.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":6218.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":9438.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9993.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4441.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":10548.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4219.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3614.36,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 1 EMERG(0-30MIN)","code_information":[{"code":"70100720","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1159.38,"maximum":2039.65,"gross_charge":2147,"discounted_cash":1462.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1717.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1824.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1374.08,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 1 EMERG(0-30MIN)","code_information":[{"code":"70100720","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":698.85,"maximum":2039.65,"gross_charge":2147,"discounted_cash":1462.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1717.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1202.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1824.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2039.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":815.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":698.85,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 1 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100721","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":581.58,"maximum":1023.15,"gross_charge":1077,"discounted_cash":733.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":861.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":915.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":969.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":732.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":689.28,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 1 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100721","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":350.57,"maximum":1023.15,"gross_charge":1077,"discounted_cash":733.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":861.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":603.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":915.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":969.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":430.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":409.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":350.57,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 1 (0-30 MIN.)","code_information":[{"code":"70100725","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1075.68,"maximum":1892.4,"gross_charge":1992,"discounted_cash":1357.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1593.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1075.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1693.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1354.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1274.88,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 1 (0-30 MIN.)","code_information":[{"code":"70100725","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":648.4,"maximum":1892.4,"gross_charge":1992,"discounted_cash":1357.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1593.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1693.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":796.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":756.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":648.4,"methodology":"fee schedule"}]}]},{"description":"GENERAL LEVEL - BOTOX","code_information":[{"code":"70100730","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1614.06,"maximum":2839.55,"gross_charge":2989,"discounted_cash":2036.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2391.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1614.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2540.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2690.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2032.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1912.96,"methodology":"fee schedule"}]}]},{"description":"GENERAL LEVEL - BOTOX","code_information":[{"code":"70100730","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":972.92,"maximum":2839.55,"gross_charge":2989,"discounted_cash":2036.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2391.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1673.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2540.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2690.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1195.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1135.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":972.92,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 2 (0-60 MIN.)","code_information":[{"code":"70100731","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2109.24,"maximum":3710.7,"gross_charge":3906,"discounted_cash":2660.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3124.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2109.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3320.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3515.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2656.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2499.84,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 2 (0-60 MIN.)","code_information":[{"code":"70100731","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1271.41,"maximum":3710.7,"gross_charge":3906,"discounted_cash":2660.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3124.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2187.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3320.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3515.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3710.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1484.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1271.41,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 2 EMERG(0-30MIN)","code_information":[{"code":"70100732","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2275.02,"maximum":4002.35,"gross_charge":4213,"discounted_cash":2870.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3370.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3581.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3791.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2864.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2696.32,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 2 EMERG(0-30MIN)","code_information":[{"code":"70100732","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1371.34,"maximum":4002.35,"gross_charge":4213,"discounted_cash":2870.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3370.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2359.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3581.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3791.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1685.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4002.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1600.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1371.34,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 2 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100733","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":572.4,"maximum":1007,"gross_charge":1060,"discounted_cash":722.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":848,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":572.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":901,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":954,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":678.4,"methodology":"fee schedule"}]}]},{"description":"ENT LVL 2 EMERG(EA.ADDL 15M)","code_information":[{"code":"70100733","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":345.03,"maximum":1007,"gross_charge":1060,"discounted_cash":722.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":848,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":593.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":901,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":954,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":424,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1007,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":345.03,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 2 (EA.ADDL 15MIN)","code_information":[{"code":"70100734","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":530.28,"maximum":932.9,"gross_charge":982,"discounted_cash":668.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":785.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":530.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":834.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":883.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":667.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.48,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 2 (EA.ADDL 15MIN)","code_information":[{"code":"70100734","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":319.65,"maximum":932.9,"gross_charge":982,"discounted_cash":668.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":785.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":549.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":834.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":883.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":392.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":319.65,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 3 (0-60 MIN.)","code_information":[{"code":"70100737","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2735.1,"maximum":4811.75,"gross_charge":5065,"discounted_cash":3450.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4052,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2735.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4305.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4558.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3444.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3241.6,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 3 (0-60 MIN.)","code_information":[{"code":"70100737","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1648.66,"maximum":4811.75,"gross_charge":5065,"discounted_cash":3450.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4052,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2836.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4305.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4558.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2026,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4811.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1648.66,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 3 (EA.ADDL 15MIN)","code_information":[{"code":"70100740","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":686.88,"maximum":1208.4,"gross_charge":1272,"discounted_cash":866.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":686.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":864.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.08,"methodology":"fee schedule"}]}]},{"description":"ENT LEVEL 3 (EA.ADDL 15MIN)","code_information":[{"code":"70100740","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":414.04,"maximum":1208.4,"gross_charge":1272,"discounted_cash":866.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":712.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":483.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":414.04,"methodology":"fee schedule"}]}]},{"description":"URLGY LV I W/LITHO PROC 0-60","code_information":[{"code":"70100771","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":766.26,"maximum":1348.05,"gross_charge":1419,"discounted_cash":966.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":766.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":964.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":908.16,"methodology":"fee schedule"}]}]},{"description":"URLGY LV I W/LITHO PROC 0-60","code_information":[{"code":"70100771","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":461.89,"maximum":1348.05,"gross_charge":1419,"discounted_cash":966.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":794.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":567.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":539.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":461.89,"methodology":"fee schedule"}]}]},{"description":"URLGY LV I W/LITHO PROC EA.15M","code_information":[{"code":"70100772","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":106.38,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.08,"methodology":"fee schedule"}]}]},{"description":"URLGY LV I W/LITHO PROC EA.15M","code_information":[{"code":"70100772","type":"CDM"},{"code":"0790","type":"RC"}],"standard_charges":[{"minimum":64.13,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.13,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGUIDE LASER","code_information":[{"code":"70100800","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1937.52,"maximum":3408.6,"gross_charge":3588,"discounted_cash":2444.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2870.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1937.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3049.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3229.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2439.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2296.32,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGUIDE LASER","code_information":[{"code":"70100800","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1167.9,"maximum":3408.6,"gross_charge":3588,"discounted_cash":2444.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2870.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3049.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3229.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1435.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1363.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1167.9,"methodology":"fee schedule"}]}]},{"description":"BONE MARROW-ASPIRATION ONLY","code_information":[{"code":"70102300","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":368.28,"maximum":647.9,"gross_charge":682,"discounted_cash":464.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":545.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":368.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":579.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":613.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":463.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.48,"methodology":"fee schedule"}]}]},{"description":"BONE MARROW-ASPIRATION ONLY","code_information":[{"code":"70102300","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":222,"maximum":647.9,"gross_charge":682,"discounted_cash":464.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":545.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":381.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":579.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":613.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":272.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":647.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":222,"methodology":"fee schedule"}]}]},{"description":"BONE MARROW-BIOPSY NDL/TRCR","code_information":[{"code":"70102305","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":412.02,"maximum":724.85,"gross_charge":763,"discounted_cash":519.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":610.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":648.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":686.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":518.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":488.32,"methodology":"fee schedule"}]}]},{"description":"BONE MARROW-BIOPSY NDL/TRCR","code_information":[{"code":"70102305","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":248.36,"maximum":724.85,"gross_charge":763,"discounted_cash":519.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":610.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":427.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":648.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":686.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":724.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":248.36,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-VP","code_information":[{"code":"70107316","type":"CDM"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":659.34,"maximum":1159.95,"gross_charge":1221,"discounted_cash":831.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":659.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":830.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":781.44,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-VP","code_information":[{"code":"70107316","type":"CDM"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":397.44,"maximum":1159.95,"gross_charge":1221,"discounted_cash":831.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":683.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":488.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":463.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":397.44,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-COMPLX","code_information":[{"code":"70107319","type":"CDM"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":1401.84,"maximum":2466.2,"gross_charge":2596,"discounted_cash":1768.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2076.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1401.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2206.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2336.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1765.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1661.44,"methodology":"fee schedule"}]}]},{"description":"PROC URODYNAMIC STUDIES-COMPLX","code_information":[{"code":"70107319","type":"CDM"},{"code":"0929","type":"RC"}],"standard_charges":[{"minimum":845,"maximum":2466.2,"gross_charge":2596,"discounted_cash":1768.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2076.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2206.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2336.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1038.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":986.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":845,"methodology":"fee schedule"}]}]},{"description":"CATARACT AFTER LASER SURG RT","code_information":[{"code":"70107600","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":844.02,"maximum":1484.85,"gross_charge":1563,"discounted_cash":1064.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1250.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":844.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1328.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1000.32,"methodology":"fee schedule"}]}]},{"description":"CATARACT AFTER LASER SURG RT","code_information":[{"code":"70107600","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":508.76,"maximum":1484.85,"gross_charge":1563,"discounted_cash":1064.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1250.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":875.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1328.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":625.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":593.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":508.76,"methodology":"fee schedule"}]}]},{"description":"CATARACT REMVL W/INSRT LENS","code_information":[{"code":"70107605","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1085.94,"maximum":1910.45,"gross_charge":2011,"discounted_cash":1369.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1709.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1287.04,"methodology":"fee schedule"}]}]},{"description":"CATARACT REMVL W/INSRT LENS","code_information":[{"code":"70107605","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":654.59,"maximum":1910.45,"gross_charge":2011,"discounted_cash":1369.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1709.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":804.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":654.59,"methodology":"fee schedule"}]}]},{"description":"CATARACT W/IOL 1STAGE SURG","code_information":[{"code":"70107610","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":861.3,"maximum":1515.25,"gross_charge":1595,"discounted_cash":1086.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1276,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1355.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1435.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1020.8,"methodology":"fee schedule"}]}]},{"description":"CATARACT W/IOL 1STAGE SURG","code_information":[{"code":"70107610","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":519.18,"maximum":1515.25,"gross_charge":1595,"discounted_cash":1086.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1276,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":893.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1355.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1435.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":638,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":519.18,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (DALK)","code_information":[{"code":"70107700","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2719.98,"maximum":4785.15,"gross_charge":5037,"discounted_cash":3431.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4029.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2719.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4281.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4533.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3425.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3223.68,"methodology":"fee schedule"}]}]},{"description":"EYE CORNEA (DALK)","code_information":[{"code":"70107700","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1639.55,"maximum":4785.15,"gross_charge":5037,"discounted_cash":3431.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4029.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2820.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4281.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4533.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2014.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4785.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1914.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1639.55,"methodology":"fee schedule"}]}]},{"description":"EYE GONIOTOMY","code_information":[{"code":"70109970","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2574.72,"maximum":4529.6,"gross_charge":4768,"discounted_cash":3248.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3814.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2574.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4052.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4291.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3242.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3051.52,"methodology":"fee schedule"}]}]},{"description":"EYE GONIOTOMY","code_information":[{"code":"70109970","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1551.99,"maximum":4529.6,"gross_charge":4768,"discounted_cash":3248.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3814.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2670.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4052.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4291.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1907.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4529.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1811.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1551.99,"methodology":"fee schedule"}]}]},{"description":"XR MANDIBLE-COMPLETE 4+VIEWS","code_information":[{"code":"70110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":309.96,"maximum":545.3,"gross_charge":574,"discounted_cash":391.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":459.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":309.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":487.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":516.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":390.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":367.36,"methodology":"fee schedule"}]}]},{"description":"XR MANDIBLE-COMPLETE 4+VIEWS","code_information":[{"code":"70110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":35.08,"maximum":545.3,"gross_charge":574,"discounted_cash":391.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":321.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":487.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":516.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":545.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":186.84,"methodology":"fee schedule"}]}]},{"description":"XR MASTOIDS <3 VIEWS","code_information":[{"code":"70120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":192.24,"maximum":338.2,"gross_charge":356,"discounted_cash":242.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":284.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":302.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":320.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":227.84,"methodology":"fee schedule"}]}]},{"description":"XR MASTOIDS <3 VIEWS","code_information":[{"code":"70120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":30.79,"maximum":338.2,"gross_charge":356,"discounted_cash":242.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":302.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":320.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":142.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.79,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":115.88,"methodology":"fee schedule"}]}]},{"description":"XR MASTOIDS COMPLETE 3+VIEWS","code_information":[{"code":"70130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":316.44,"maximum":556.7,"gross_charge":586,"discounted_cash":399.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":468.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":498.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":527.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":398.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":375.04,"methodology":"fee schedule"}]}]},{"description":"XR MASTOIDS COMPLETE 3+VIEWS","code_information":[{"code":"70130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":50.07,"maximum":556.7,"gross_charge":586,"discounted_cash":399.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":118.17,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":328.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":498.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":527.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":234.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.07,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":190.75,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL I (0-60 MIN.)(SCHEDULD","code_information":[{"code":"70140786","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3157.92,"maximum":5555.6,"gross_charge":5848,"discounted_cash":3983.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3157.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4970.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5263.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3976.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3742.72,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL I (0-60 MIN.)(SCHEDULD","code_information":[{"code":"70140786","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1903.53,"maximum":5555.6,"gross_charge":5848,"discounted_cash":3983.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4678.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3274.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4970.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5263.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2339.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5555.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2222.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1903.53,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL 2 (0-60 MIN.)(UNSCHELD","code_information":[{"code":"70140788","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":3887.46,"maximum":6839.05,"gross_charge":7199,"discounted_cash":4904.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5759.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3887.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6119.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6479.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4895.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4607.36,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL 2 (0-60 MIN.)(UNSCHELD","code_information":[{"code":"70140788","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":2343.28,"maximum":6839.05,"gross_charge":7199,"discounted_cash":4904.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5759.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4031.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6119.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6479.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2879.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6839.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2735.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2343.28,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL I (EA.ADDL 15M)(SCHULD","code_information":[{"code":"70140796","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":793.8,"maximum":1396.5,"gross_charge":1470,"discounted_cash":1001.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":793.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1249.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1323,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":999.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":940.8,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL I (EA.ADDL 15M)(SCHULD","code_information":[{"code":"70140796","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":478.49,"maximum":1396.5,"gross_charge":1470,"discounted_cash":1001.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":823.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1249.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1323,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":588,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":478.49,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL 2 (EA.ADDL 15M)(UNSCHD","code_information":[{"code":"70140798","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":975.24,"maximum":1715.7,"gross_charge":1806,"discounted_cash":1230.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":975.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1535.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1625.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1155.84,"methodology":"fee schedule"}]}]},{"description":"OR5 LVL 2 (EA.ADDL 15M)(UNSCHD","code_information":[{"code":"70140798","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":587.86,"maximum":1715.7,"gross_charge":1806,"discounted_cash":1230.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1535.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1625.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":722.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1715.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":686.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":587.86,"methodology":"fee schedule"}]}]},{"description":"XR FACIAL BONES COMPLETE 3+VWS","code_information":[{"code":"70150","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":360.72,"maximum":634.6,"gross_charge":668,"discounted_cash":455.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":534.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":360.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":567.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":601.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":454.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":427.52,"methodology":"fee schedule"}]}]},{"description":"XR FACIAL BONES COMPLETE 3+VWS","code_information":[{"code":"70150","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":37.51,"maximum":634.6,"gross_charge":668,"discounted_cash":455.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":89.89,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":374.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":567.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":601.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":267.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":634.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.51,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":217.44,"methodology":"fee schedule"}]}]},{"description":"XR NASAL BONES","code_information":[{"code":"70160","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":281.88,"maximum":495.9,"gross_charge":522,"discounted_cash":355.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":417.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":281.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":443.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":469.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":354.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.08,"methodology":"fee schedule"}]}]},{"description":"XR NASAL BONES","code_information":[{"code":"70160","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":30.25,"maximum":495.9,"gross_charge":522,"discounted_cash":355.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":292.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":443.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":469.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":208.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":495.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"}]}]},{"description":"XR ORBITS COMPLETE 4+VIEWS","code_information":[{"code":"70200","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":285.12,"maximum":501.6,"gross_charge":528,"discounted_cash":359.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":422.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":285.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":359.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.92,"methodology":"fee schedule"}]}]},{"description":"XR ORBITS COMPLETE 4+VIEWS","code_information":[{"code":"70200","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":38.31,"maximum":501.6,"gross_charge":528,"discounted_cash":359.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":295.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.87,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY","code_information":[{"code":"70200125","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":526.5,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":526.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":663,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":624,"methodology":"fee schedule"}]}]},{"description":"CYSTOURETHROSCOPY","code_information":[{"code":"70200125","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":317.37,"maximum":926.25,"gross_charge":975,"discounted_cash":664.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":780,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":546,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":828.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":877.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":390,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":926.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":370.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":317.37,"methodology":"fee schedule"}]}]},{"description":"SDC/SDC PHASEII REC EA.15MIN","code_information":[{"code":"70200506","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":199.8,"maximum":351.5,"gross_charge":370,"discounted_cash":252.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":314.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":251.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.8,"methodology":"fee schedule"}]}]},{"description":"SDC/SDC PHASEII REC EA.15MIN","code_information":[{"code":"70200506","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":120.44,"maximum":351.5,"gross_charge":370,"discounted_cash":252.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":314.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":120.44,"methodology":"fee schedule"}]}]},{"description":"SDC/SDC EXTENDD REC PER HR","code_information":[{"code":"70200509","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":77.76,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"}]}]},{"description":"SDC/SDC EXTENDD REC PER HR","code_information":[{"code":"70200509","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":46.88,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.88,"methodology":"fee schedule"}]}]},{"description":"NERVE BLOCK OTHR PERIPH/BRANCH","code_information":[{"code":"70200615","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":453.06,"maximum":797.05,"gross_charge":839,"discounted_cash":571.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":671.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":453.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":713.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":755.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":570.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":536.96,"methodology":"fee schedule"}]}]},{"description":"NERVE BLOCK OTHR PERIPH/BRANCH","code_information":[{"code":"70200615","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":273.1,"maximum":797.05,"gross_charge":839,"discounted_cash":571.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":671.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":469.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":713.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":755.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":335.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":797.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":318.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":273.1,"methodology":"fee schedule"}]}]},{"description":"BLOCK - TAP BILATERAL","code_information":[{"code":"70200618","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":989.28,"maximum":1740.4,"gross_charge":1832,"discounted_cash":1248.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":989.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1557.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1648.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1245.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1172.48,"methodology":"fee schedule"}]}]},{"description":"BLOCK - TAP BILATERAL","code_information":[{"code":"70200618","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":596.32,"maximum":1740.4,"gross_charge":1832,"discounted_cash":1248.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1557.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1648.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":732.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":696.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":596.32,"methodology":"fee schedule"}]}]},{"description":"SDC GENERAL LEVEL - BOTOX","code_information":[{"code":"70200730","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1780.92,"maximum":3133.1,"gross_charge":3298,"discounted_cash":2246.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2638.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2803.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2968.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2110.72,"methodology":"fee schedule"}]}]},{"description":"SDC GENERAL LEVEL - BOTOX","code_information":[{"code":"70200730","type":"CDM"},{"code":"0360","type":"RC"}],"standard_charges":[{"minimum":1073.5,"maximum":3133.1,"gross_charge":3298,"discounted_cash":2246.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2638.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1846.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2803.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2968.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1319.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1253.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"}]}]},{"description":"OP MINOR PROCEDURE EA.15MIN.","code_information":[{"code":"70200880","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":51.3,"maximum":90.25,"gross_charge":95,"discounted_cash":64.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"}]}]},{"description":"OP MINOR PROCEDURE EA.15MIN.","code_information":[{"code":"70200880","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":30.93,"maximum":90.25,"gross_charge":95,"discounted_cash":64.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.93,"methodology":"fee schedule"}]}]},{"description":"INSERTN PICC/MCL LINE W/IMAG","code_information":[{"code":"70200907","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2009.34,"maximum":3534.95,"gross_charge":3721,"discounted_cash":2534.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3162.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3348.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2530.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2381.44,"methodology":"fee schedule"}]}]},{"description":"INSERTN PICC/MCL LINE W/IMAG","code_information":[{"code":"70200907","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1211.19,"maximum":3534.95,"gross_charge":3721,"discounted_cash":2534.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2083.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3162.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3348.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3534.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1413.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1211.19,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ<20CM","code_information":[{"code":"70202525","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":338.58,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":426.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"}]}]},{"description":"WC DEBRIDEMENT SUBQ<20CM","code_information":[{"code":"70202525","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":204.09,"maximum":595.65,"gross_charge":627,"discounted_cash":427.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":204.09,"methodology":"fee schedule"}]}]},{"description":"WC CHEMICAL CAUTERY TISSUE","code_information":[{"code":"70202527","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":116.1,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"}]}]},{"description":"WC CHEMICAL CAUTERY TISSUE","code_information":[{"code":"70202527","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":69.99,"maximum":204.25,"gross_charge":215,"discounted_cash":146.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":182.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.99,"methodology":"fee schedule"}]}]},{"description":"WC UNNA BOOT BILAT","code_information":[{"code":"70202528","type":"CDM"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":224.1,"maximum":394.25,"gross_charge":415,"discounted_cash":282.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.6,"methodology":"fee schedule"}]}]},{"description":"WC UNNA BOOT BILAT","code_information":[{"code":"70202528","type":"CDM"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":135.09,"maximum":394.25,"gross_charge":415,"discounted_cash":282.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":135.09,"methodology":"fee schedule"}]}]},{"description":"WC UNNA BOOT LT","code_information":[{"code":"70202529","type":"CDM"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":150.12,"maximum":264.1,"gross_charge":278,"discounted_cash":189.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":222.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":236.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":250.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.92,"methodology":"fee schedule"}]}]},{"description":"WC UNNA BOOT LT","code_information":[{"code":"70202529","type":"CDM"},{"code":"0940","type":"RC"}],"standard_charges":[{"minimum":90.49,"maximum":264.1,"gross_charge":278,"discounted_cash":189.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":222.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":236.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":250.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.49,"methodology":"fee schedule"}]}]},{"description":"WC APPL MULT COMPRS LWR LEG BI","code_information":[{"code":"70202531","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":193.32,"maximum":340.1,"gross_charge":358,"discounted_cash":243.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":286.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":193.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":304.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":243.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.12,"methodology":"fee schedule"}]}]},{"description":"WC APPL MULT COMPRS LWR LEG BI","code_information":[{"code":"70202531","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":116.53,"maximum":340.1,"gross_charge":358,"discounted_cash":243.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":286.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":200.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":304.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":322.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":143.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":116.53,"methodology":"fee schedule"}]}]},{"description":"WC APPL MULT COMPRS LWR LEG LT","code_information":[{"code":"70202532","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":129.6,"maximum":228,"gross_charge":240,"discounted_cash":163.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.6,"methodology":"fee schedule"}]}]},{"description":"WC APPL MULT COMPRS LWR LEG LT","code_information":[{"code":"70202532","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":78.12,"maximum":228,"gross_charge":240,"discounted_cash":163.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":78.12,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP 1ST LESN W/GUIDE","code_information":[{"code":"70209260","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":973.08,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1225.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1153.28,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP 1ST LESN W/GUIDE","code_information":[{"code":"70209260","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":586.56,"maximum":1711.9,"gross_charge":1802,"discounted_cash":1227.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":720.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":684.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":586.56,"methodology":"fee schedule"}]}]},{"description":"XR SINUS < 3 VIEWS","code_information":[{"code":"70210","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":231.12,"maximum":406.6,"gross_charge":428,"discounted_cash":291.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":231.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":363.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":385.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.92,"methodology":"fee schedule"}]}]},{"description":"XR SINUS < 3 VIEWS","code_information":[{"code":"70210","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":25.93,"maximum":406.6,"gross_charge":428,"discounted_cash":291.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":363.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":385.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"}]}]},{"description":"XR SINUSES COMPLETE > 3 VIEWS","code_information":[{"code":"70220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":372.06,"maximum":654.55,"gross_charge":689,"discounted_cash":469.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":551.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":585.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":620.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":440.96,"methodology":"fee schedule"}]}]},{"description":"XR SINUSES COMPLETE > 3 VIEWS","code_information":[{"code":"70220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":30.23,"maximum":654.55,"gross_charge":689,"discounted_cash":469.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":585.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":620.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":275.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":224.27,"methodology":"fee schedule"}]}]},{"description":"XR SELLA TURCICA","code_information":[{"code":"70240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":150.12,"maximum":264.1,"gross_charge":278,"discounted_cash":189.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":222.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":236.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":250.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.92,"methodology":"fee schedule"}]}]},{"description":"XR SELLA TURCICA","code_information":[{"code":"70240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":26.2,"maximum":264.1,"gross_charge":278,"discounted_cash":189.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":236.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":250.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.49,"methodology":"fee schedule"}]}]},{"description":"XR SKULL < 4 VIEWS","code_information":[{"code":"70250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":257.04,"maximum":452.2,"gross_charge":476,"discounted_cash":324.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":404.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":323.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.64,"methodology":"fee schedule"}]}]},{"description":"XR SKULL < 4 VIEWS","code_information":[{"code":"70250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":28.9,"maximum":452.2,"gross_charge":476,"discounted_cash":324.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":74.74,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":266.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":404.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":154.94,"methodology":"fee schedule"}]}]},{"description":"XR SKULL > 4 VIEWS","code_information":[{"code":"70260","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":381.24,"maximum":670.7,"gross_charge":706,"discounted_cash":480.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":564.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":381.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":600.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":635.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":480.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":451.84,"methodology":"fee schedule"}]}]},{"description":"XR SKULL > 4 VIEWS","code_information":[{"code":"70260","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":35.88,"maximum":670.7,"gross_charge":706,"discounted_cash":480.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":91.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":600.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":635.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":229.81,"methodology":"fee schedule"}]}]},{"description":"RECOVERY ROOM (PACU) - BOTOX","code_information":[{"code":"70300500","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":658.8,"maximum":1159,"gross_charge":1220,"discounted_cash":831.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":658.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":829.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":780.8,"methodology":"fee schedule"}]}]},{"description":"RECOVERY ROOM (PACU) - BOTOX","code_information":[{"code":"70300500","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":397.11,"maximum":1159,"gross_charge":1220,"discounted_cash":831.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":683.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":488,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":463.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":397.11,"methodology":"fee schedule"}]}]},{"description":"CATARACT PACU 0-15 MIN","code_information":[{"code":"70300900","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":379.08,"maximum":666.9,"gross_charge":702,"discounted_cash":478.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":561.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":379.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":596.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":631.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":477.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":449.28,"methodology":"fee schedule"}]}]},{"description":"CATARACT PACU 0-15 MIN","code_information":[{"code":"70300900","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":228.51,"maximum":666.9,"gross_charge":702,"discounted_cash":478.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":561.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":393.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":596.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":631.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":228.51,"methodology":"fee schedule"}]}]},{"description":"RECOVERY ROOM 1ST HOUR","code_information":[{"code":"70302000","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":1379.16,"maximum":2426.3,"gross_charge":2554,"discounted_cash":1739.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2043.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2170.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2298.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1736.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1634.56,"methodology":"fee schedule"}]}]},{"description":"RECOVERY ROOM 1ST HOUR","code_information":[{"code":"70302000","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":831.33,"maximum":2426.3,"gross_charge":2554,"discounted_cash":1739.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2043.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1430.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2170.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2298.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1021.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":970.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":831.33,"methodology":"fee schedule"}]}]},{"description":"PACU MAC/IVS-30 MINS","code_information":[{"code":"70302001","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":540,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":640,"methodology":"fee schedule"}]}]},{"description":"PACU MAC/IVS-30 MINS","code_information":[{"code":"70302001","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":325.5,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":325.5,"methodology":"fee schedule"}]}]},{"description":"PACU MAC/IVS-ADD 15MINS","code_information":[{"code":"70302002","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":270,"maximum":475,"gross_charge":500,"discounted_cash":340.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":425,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":450,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":340,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":320,"methodology":"fee schedule"}]}]},{"description":"PACU MAC/IVS-ADD 15MINS","code_information":[{"code":"70302002","type":"CDM"},{"code":"0710","type":"RC"}],"standard_charges":[{"minimum":162.75,"maximum":475,"gross_charge":500,"discounted_cash":340.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":280,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":425,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":450,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":200,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":162.75,"methodology":"fee schedule"}]}]},{"description":"XR TEETH PARTIAL","code_information":[{"code":"70310","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":163.08,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":241.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":205.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.28,"methodology":"fee schedule"}]}]},{"description":"XR TEETH PARTIAL","code_information":[{"code":"70310","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":32.69,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.69,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":98.31,"methodology":"fee schedule"}]}]},{"description":"XR TEETH COMPLETE","code_information":[{"code":"70320","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":156.06,"maximum":274.55,"gross_charge":289,"discounted_cash":196.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":245.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.96,"methodology":"fee schedule"}]}]},{"description":"XR TEETH COMPLETE","code_information":[{"code":"70320","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":43.73,"maximum":274.55,"gross_charge":289,"discounted_cash":196.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":116.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":245.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.73,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":94.07,"methodology":"fee schedule"}]}]},{"description":"XR TMJ BILATERAL","code_information":[{"code":"70330","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":330.48,"maximum":581.4,"gross_charge":612,"discounted_cash":416.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":330.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":520.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":416.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":391.68,"methodology":"fee schedule"}]}]},{"description":"XR TMJ BILATERAL","code_information":[{"code":"70330","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":42.65,"maximum":581.4,"gross_charge":612,"discounted_cash":416.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":520.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":199.21,"methodology":"fee schedule"}]}]},{"description":"MRI TMJ (JOINT OR JOINTS)","code_information":[{"code":"70336","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1126.44,"maximum":1981.7,"gross_charge":2086,"discounted_cash":1421.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1668.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1418.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1335.04,"methodology":"fee schedule"}]}]},{"description":"MRI TMJ (JOINT OR JOINTS)","code_information":[{"code":"70336","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":213.65,"maximum":1981.7,"gross_charge":2086,"discounted_cash":1421.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":834.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":679,"methodology":"fee schedule"}]}]},{"description":"XR NECK SOFT TISSUE","code_information":[{"code":"70360","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":207.9,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"}]}]},{"description":"XR NECK SOFT TISSUE","code_information":[{"code":"70360","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":25.12,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":57.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.32,"methodology":"fee schedule"}]}]},{"description":"XR SPEECH EVAL CINE/VID CMPLX","code_information":[{"code":"70371","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":423.36,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":627.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":533.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"}]}]},{"description":"XR SPEECH EVAL CINE/VID CMPLX","code_information":[{"code":"70371","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":89.74,"maximum":744.8,"gross_charge":784,"discounted_cash":534.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":159.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":705.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":744.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"}]}]},{"description":"XR SALIVARY GLAND FOR CLACULUS","code_information":[{"code":"70380","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":233.28,"maximum":410.4,"gross_charge":432,"discounted_cash":294.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":233.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"}]}]},{"description":"XR SALIVARY GLAND FOR CLACULUS","code_information":[{"code":"70380","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":29.98,"maximum":410.4,"gross_charge":432,"discounted_cash":294.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":241.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.62,"methodology":"fee schedule"}]}]},{"description":"XR SIALOGRPHY","code_information":[{"code":"70390","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":473.04,"maximum":832.2,"gross_charge":876,"discounted_cash":596.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":700.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":473.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":744.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":560.64,"methodology":"fee schedule"}]}]},{"description":"XR SIALOGRPHY","code_information":[{"code":"70390","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":91.1,"maximum":832.2,"gross_charge":876,"discounted_cash":596.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":246.44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":490.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":744.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":832.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":285.14,"methodology":"fee schedule"}]}]},{"description":"ANES CATARACT LVL 0-30 MIN","code_information":[{"code":"70404000","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":905.04,"maximum":1592.2,"gross_charge":1676,"discounted_cash":1141.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":905.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1072.64,"methodology":"fee schedule"}]}]},{"description":"ANES CATARACT LVL 0-30 MIN","code_information":[{"code":"70404000","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":545.54,"maximum":1592.2,"gross_charge":1676,"discounted_cash":1141.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":938.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":670.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":636.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":545.54,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL - BOTOX","code_information":[{"code":"70405500","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":386.1,"maximum":679.25,"gross_charge":715,"discounted_cash":487.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":572,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":386.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":607.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":643.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":486.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL - BOTOX","code_information":[{"code":"70405500","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":232.74,"maximum":679.25,"gross_charge":715,"discounted_cash":487.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":572,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":607.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":643.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":679.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":232.74,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL 1ST HOUR","code_information":[{"code":"70405649","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":819.72,"maximum":1442.1,"gross_charge":1518,"discounted_cash":1034.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1214.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":819.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1290.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1032.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":971.52,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL 1ST HOUR","code_information":[{"code":"70405649","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":494.11,"maximum":1442.1,"gross_charge":1518,"discounted_cash":1034.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1214.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":850.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1290.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":607.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":576.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":494.11,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL EA.ADDL 30MIN.","code_information":[{"code":"70405650","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":413.64,"maximum":727.7,"gross_charge":766,"discounted_cash":521.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":413.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":651.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":689.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":520.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":490.24,"methodology":"fee schedule"}]}]},{"description":"ANESTH GENERAL EA.ADDL 30MIN.","code_information":[{"code":"70405650","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":249.34,"maximum":727.7,"gross_charge":766,"discounted_cash":521.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":651.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":689.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":727.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":249.34,"methodology":"fee schedule"}]}]},{"description":"ANESTH IVS/REGIONL EA.ADDL 15M","code_information":[{"code":"70405654","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":208.98,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":263.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"}]}]},{"description":"ANESTH IVS/REGIONL EA.ADDL 15M","code_information":[{"code":"70405654","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":125.97,"maximum":367.65,"gross_charge":387,"discounted_cash":263.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":216.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.97,"methodology":"fee schedule"}]}]},{"description":"OR5 ANESTH GENERAL 1ST HOUR","code_information":[{"code":"70405749","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":765.72,"maximum":1347.1,"gross_charge":1418,"discounted_cash":966.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":765.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":964.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":907.52,"methodology":"fee schedule"}]}]},{"description":"OR5 ANESTH GENERAL 1ST HOUR","code_information":[{"code":"70405749","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":461.56,"maximum":1347.1,"gross_charge":1418,"discounted_cash":966.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":794.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1205.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":567.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1347.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":538.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":461.56,"methodology":"fee schedule"}]}]},{"description":"OR5 ANES IVS/REGINL EA.ADDL 15","code_information":[{"code":"70405754","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":194.94,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.04,"methodology":"fee schedule"}]}]},{"description":"OR5 ANES IVS/REGINL EA.ADDL 15","code_information":[{"code":"70405754","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":117.51,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":202.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":117.51,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI INSRTN 1ST HR(3","code_information":[{"code":"70406000","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":302.94,"maximum":532.95,"gross_charge":561,"discounted_cash":382.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":302.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":476.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.04,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI INSRTN 1ST HR(3","code_information":[{"code":"70406000","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":182.61,"maximum":532.95,"gross_charge":561,"discounted_cash":382.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":314.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":476.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":224.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":182.61,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI CONT EA.HRTO8HR","code_information":[{"code":"70406005","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":109.08,"maximum":191.9,"gross_charge":202,"discounted_cash":137.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":161.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":171.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":181.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":137.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.28,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI CONT EA.HRTO8HR","code_information":[{"code":"70406005","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":65.76,"maximum":191.9,"gross_charge":202,"discounted_cash":137.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":161.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":171.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":181.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":65.76,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI C-SECT CONT","code_information":[{"code":"70406007","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":102.06,"maximum":179.55,"gross_charge":189,"discounted_cash":128.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":160.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"}]}]},{"description":"ANES LABOR EPI C-SECT CONT","code_information":[{"code":"70406007","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":61.52,"maximum":179.55,"gross_charge":189,"discounted_cash":128.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":160.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":61.52,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/O CONTRAST","code_information":[{"code":"70450","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1368.36,"maximum":2407.3,"gross_charge":2534,"discounted_cash":1726.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2027.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1368.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2153.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2280.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1723.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1621.76,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/O CONTRAST","code_information":[{"code":"70450","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":86.94,"maximum":2407.3,"gross_charge":2534,"discounted_cash":1726.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":461.57,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1419.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2153.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2280.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2407.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":824.82,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/ CONTRAST","code_information":[{"code":"70460","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1395.9,"maximum":2455.75,"gross_charge":2585,"discounted_cash":1761.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2068,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2197.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2326.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1654.4,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/ CONTRAST","code_information":[{"code":"70460","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":120.93,"maximum":2455.75,"gross_charge":2585,"discounted_cash":1761.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":597.92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1447.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2197.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2326.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1034,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2455.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":841.42,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/O & W/CONTRAST","code_information":[{"code":"70470","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1655.64,"maximum":2912.7,"gross_charge":3066,"discounted_cash":2088.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2452.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1655.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2759.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2084.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1962.24,"methodology":"fee schedule"}]}]},{"description":"CT HEAD W/O & W/CONTRAST","code_information":[{"code":"70470","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":141.29,"maximum":2912.7,"gross_charge":3066,"discounted_cash":2088.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":736.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2759.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1226.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.29,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":997.99,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W/O CNST","code_information":[{"code":"70480","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1149.12,"maximum":2021.6,"gross_charge":2128,"discounted_cash":1449.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1702.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1149.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1808.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1915.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1447.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1361.92,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W/O CNST","code_information":[{"code":"70480","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":129.41,"maximum":2021.6,"gross_charge":2128,"discounted_cash":1449.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":749.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1191.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1808.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1915.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2021.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.41,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":692.67,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W/CNST","code_information":[{"code":"70481","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1333.26,"maximum":2345.55,"gross_charge":2469,"discounted_cash":1681.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1975.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1333.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2098.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2222.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1580.16,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W/CNST","code_information":[{"code":"70481","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":147.12,"maximum":2345.55,"gross_charge":2469,"discounted_cash":1681.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":885.77,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2098.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2222.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":987.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":803.66,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W&W/O","code_information":[{"code":"70482","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1528.74,"maximum":2689.45,"gross_charge":2831,"discounted_cash":1928.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2264.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1528.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2406.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2547.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1925.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1811.84,"methodology":"fee schedule"}]}]},{"description":"CT ORBIT/SELLA/PF W&W/O","code_information":[{"code":"70482","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":171.27,"maximum":2689.45,"gross_charge":2831,"discounted_cash":1928.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1585.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2406.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2547.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":921.5,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W/O CNST","code_information":[{"code":"70486","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1591.92,"maximum":2800.6,"gross_charge":2948,"discounted_cash":2008.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2358.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1591.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2505.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2653.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2004.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1886.72,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W/O CNST","code_information":[{"code":"70486","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":104.49,"maximum":2800.6,"gross_charge":2948,"discounted_cash":2008.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":614.08,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1650.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2505.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2653.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2800.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.49,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":959.58,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W/CNST","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1496.34,"maximum":2632.45,"gross_charge":2771,"discounted_cash":1887.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2216.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1496.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2355.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2493.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1884.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1773.44,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W/CNST","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":123.9,"maximum":2632.45,"gross_charge":2771,"discounted_cash":1887.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":750.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1551.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2355.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2493.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":901.97,"methodology":"fee schedule"}]}]},{"description":"CT SINUS W/CNST","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1465.02,"maximum":2577.35,"gross_charge":2713,"discounted_cash":1848.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2170.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2306.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2441.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1844.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1736.32,"methodology":"fee schedule"}]}]},{"description":"CT SINUS W/CNST","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":123.9,"maximum":2577.35,"gross_charge":2713,"discounted_cash":1848.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":750.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1519.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2306.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2441.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2577.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":883.09,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W&W/O CNST","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1910.52,"maximum":3361.1,"gross_charge":3538,"discounted_cash":2410.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1910.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3007.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2405.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2264.32,"methodology":"fee schedule"}]}]},{"description":"CT MAXILLOFACIAL W&W/O CNST","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":149.94,"maximum":3361.1,"gross_charge":3538,"discounted_cash":2410.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3007.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1415.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3361.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1151.62,"methodology":"fee schedule"}]}]},{"description":"CT SINUS W&W/O","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1655.64,"maximum":2912.7,"gross_charge":3066,"discounted_cash":2088.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2452.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1655.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2759.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2084.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1962.24,"methodology":"fee schedule"}]}]},{"description":"CT SINUS W&W/O","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":149.94,"maximum":2912.7,"gross_charge":3066,"discounted_cash":2088.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2759.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1226.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":997.99,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/O CONTRT","code_information":[{"code":"70490","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1276.56,"maximum":2245.8,"gross_charge":2364,"discounted_cash":1610.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1891.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2127.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1512.96,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/O CONTRT","code_information":[{"code":"70490","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":122.21,"maximum":2245.8,"gross_charge":2364,"discounted_cash":1610.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":577.72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2127.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":945.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.21,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":769.49,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/CONTRAST","code_information":[{"code":"70491","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1616.22,"maximum":2843.35,"gross_charge":2993,"discounted_cash":2038.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2394.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1616.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2544.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2693.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2035.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1915.52,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/CONTRAST","code_information":[{"code":"70491","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":149.89,"maximum":2843.35,"gross_charge":2993,"discounted_cash":2038.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1676.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2544.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2693.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1197.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2843.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":974.23,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/O W/CONT","code_information":[{"code":"70492","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1745.28,"maximum":3070.4,"gross_charge":3232,"discounted_cash":2201.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2585.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2747.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2908.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2197.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2068.48,"methodology":"fee schedule"}]}]},{"description":"CT NECK SOFT TISSUE W/O W/CONT","code_information":[{"code":"70492","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":179.94,"maximum":3070.4,"gross_charge":3232,"discounted_cash":2201.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":901.93,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2747.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2908.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3070.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1052.02,"methodology":"fee schedule"}]}]},{"description":"CTA HEAD W&W/O + RECNST","code_information":[{"code":"70496","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":2030.94,"maximum":3572.95,"gross_charge":3761,"discounted_cash":2562.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3008.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2030.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3196.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3384.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2557.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2407.04,"methodology":"fee schedule"}]}]},{"description":"CTA HEAD W&W/O + RECNST","code_information":[{"code":"70496","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":225.6,"maximum":3572.95,"gross_charge":3761,"discounted_cash":2562.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1511.97,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2106.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3196.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3384.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1504.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1224.21,"methodology":"fee schedule"}]}]},{"description":"CTA NECK W/CONTRAST + RECNST","code_information":[{"code":"70498","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":2149.2,"maximum":3781,"gross_charge":3980,"discounted_cash":2711.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3184,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2149.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3383,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3582,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2706.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2547.2,"methodology":"fee schedule"}]}]},{"description":"CTA NECK W/CONTRAST + RECNST","code_information":[{"code":"70498","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":225.33,"maximum":3781,"gross_charge":3980,"discounted_cash":2711.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.27,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3383,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3582,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1592,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3781,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.33,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1295.49,"methodology":"fee schedule"}]}]},{"description":"TRNSDUC CDX STD","code_information":[{"code":"70520050","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.16,"maximum":51.3,"gross_charge":54,"discounted_cash":36.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"}]}]},{"description":"TRNSDUC CDX STD","code_information":[{"code":"70520050","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.58,"maximum":51.3,"gross_charge":54,"discounted_cash":36.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.58,"methodology":"fee schedule"}]}]},{"description":"LWR EXTRM ADDL PELVIC CNTRL HD","code_information":[{"code":"70520503","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":324,"maximum":570,"gross_charge":600,"discounted_cash":408.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":510,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":384,"methodology":"fee schedule"}]}]},{"description":"LWR EXTRM ADDL PELVIC CNTRL HD","code_information":[{"code":"70520503","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":195.3,"maximum":570,"gross_charge":600,"discounted_cash":408.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":510,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":570,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":195.3,"methodology":"fee schedule"}]}]},{"description":"LWR EXTMY ADDL PLVC CNTL AFEAC","code_information":[{"code":"70520505","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":340.2,"maximum":598.5,"gross_charge":630,"discounted_cash":429.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":340.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":567,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"}]}]},{"description":"LWR EXTMY ADDL PLVC CNTL AFEAC","code_information":[{"code":"70520505","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":205.07,"maximum":598.5,"gross_charge":630,"discounted_cash":429.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":535.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":567,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":205.07,"methodology":"fee schedule"}]}]},{"description":"ADBMNL PRESS MNTR DEV(IAP001)","code_information":[{"code":"70521023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":185.76,"maximum":326.8,"gross_charge":344,"discounted_cash":234.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":292.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.16,"methodology":"fee schedule"}]}]},{"description":"ADBMNL PRESS MNTR DEV(IAP001)","code_information":[{"code":"70521023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":111.98,"maximum":326.8,"gross_charge":344,"discounted_cash":234.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":292.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":111.98,"methodology":"fee schedule"}]}]},{"description":"AIRWAY NASOPHRYGL(ALL)NONSTRL","code_information":[{"code":"70521024","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":59.94,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"}]}]},{"description":"AIRWAY NASOPHRYGL(ALL)NONSTRL","code_information":[{"code":"70521024","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":36.14,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.14,"methodology":"fee schedule"}]}]},{"description":"CATH TEMP SENS 400 16F (90051)","code_information":[{"code":"70521045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":67.5,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"}]}]},{"description":"CATH TEMP SENS 400 16F (90051)","code_information":[{"code":"70521045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.69,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.69,"methodology":"fee schedule"}]}]},{"description":"STOPCOCK 3-WAY 173518/ARGL","code_information":[{"code":"70521112","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.1,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"}]}]},{"description":"STOPCOCK 3-WAY 173518/ARGL","code_information":[{"code":"70521112","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.89,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":4.89,"methodology":"fee schedule"}]}]},{"description":"TRAY BX BONE MARROW JAMSH 11G","code_information":[{"code":"70521115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":83.7,"maximum":147.25,"gross_charge":155,"discounted_cash":105.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":124,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":131.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":139.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"}]}]},{"description":"TRAY BX BONE MARROW JAMSH 11G","code_information":[{"code":"70521115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":50.46,"maximum":147.25,"gross_charge":155,"discounted_cash":105.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":124,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":131.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":139.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":62,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":50.46,"methodology":"fee schedule"}]}]},{"description":"CHEST DRAINAGE THORA-SEAL 3","code_information":[{"code":"70521120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":86.4,"maximum":152,"gross_charge":160,"discounted_cash":109,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"}]}]},{"description":"CHEST DRAINAGE THORA-SEAL 3","code_information":[{"code":"70521120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":52.08,"maximum":152,"gross_charge":160,"discounted_cash":109,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":52.08,"methodology":"fee schedule"}]}]},{"description":"CHEST DRAIN VLVE-HEIMLICH 3460","code_information":[{"code":"70521122","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.02,"maximum":154.85,"gross_charge":163,"discounted_cash":111.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":130.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":146.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.32,"methodology":"fee schedule"}]}]},{"description":"CHEST DRAIN VLVE-HEIMLICH 3460","code_information":[{"code":"70521122","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.06,"maximum":154.85,"gross_charge":163,"discounted_cash":111.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":130.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":146.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.06,"methodology":"fee schedule"}]}]},{"description":"THORA/PARA-CENTESIS (30CE2COA)","code_information":[{"code":"70521125","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":72.9,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"}]}]},{"description":"THORA/PARA-CENTESIS (30CE2COA)","code_information":[{"code":"70521125","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":43.95,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.95,"methodology":"fee schedule"}]}]},{"description":"FLEXISEAL FECAL SYS KIT","code_information":[{"code":"70521127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":544.32,"maximum":957.6,"gross_charge":1008,"discounted_cash":686.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":544.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":907.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":645.12,"methodology":"fee schedule"}]}]},{"description":"FLEXISEAL FECAL SYS KIT","code_information":[{"code":"70521127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":328.11,"maximum":957.6,"gross_charge":1008,"discounted_cash":686.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":564.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":907.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":328.11,"methodology":"fee schedule"}]}]},{"description":"CATH FOLY TEMP PED 8FR(119308M","code_information":[{"code":"70521129","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":75.6,"maximum":133,"gross_charge":140,"discounted_cash":95.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":112,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"}]}]},{"description":"CATH FOLY TEMP PED 8FR(119308M","code_information":[{"code":"70521129","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.57,"maximum":133,"gross_charge":140,"discounted_cash":95.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":112,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":45.57,"methodology":"fee schedule"}]}]},{"description":"T-PEEL INTDUCR CATH F/DL PUMP","code_information":[{"code":"70521152","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":66.96,"maximum":117.8,"gross_charge":124,"discounted_cash":84.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.36,"methodology":"fee schedule"}]}]},{"description":"T-PEEL INTDUCR CATH F/DL PUMP","code_information":[{"code":"70521152","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.37,"maximum":117.8,"gross_charge":124,"discounted_cash":84.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.37,"methodology":"fee schedule"}]}]},{"description":"CENTRAL LINE VEIN CATH KIT 14F","code_information":[{"code":"70521185","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":76.68,"maximum":134.9,"gross_charge":142,"discounted_cash":96.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":113.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":127.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.88,"methodology":"fee schedule"}]}]},{"description":"CENTRAL LINE VEIN CATH KIT 14F","code_information":[{"code":"70521185","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.23,"maximum":134.9,"gross_charge":142,"discounted_cash":96.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":113.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":127.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"}]}]},{"description":"(STATS) CATH KT FOLEY 16FRX5ML","code_information":[{"code":"70521210","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":32.94,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"}]}]},{"description":"(STATS) CATH KT FOLEY 16FRX5ML","code_information":[{"code":"70521210","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":19.86,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE TIP 2WY-30CC(ALL)","code_information":[{"code":"70521255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":57.78,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.48,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE TIP 2WY-30CC(ALL)","code_information":[{"code":"70521255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.83,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":34.83,"methodology":"fee schedule"}]}]},{"description":"MITY-VAC EXTRACTR W/FLTR 004","code_information":[{"code":"70521280","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":265.68,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"}]}]},{"description":"MITY-VAC EXTRACTR W/FLTR 004","code_information":[{"code":"70521280","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":160.15,"maximum":467.4,"gross_charge":492,"discounted_cash":335.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":160.15,"methodology":"fee schedule"}]}]},{"description":"MULTILUMEN CATH (CNTRL LN KIT)","code_information":[{"code":"70521285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":111.78,"maximum":196.65,"gross_charge":207,"discounted_cash":141.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":175.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":186.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"}]}]},{"description":"MULTILUMEN CATH (CNTRL LN KIT)","code_information":[{"code":"70521285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":67.38,"maximum":196.65,"gross_charge":207,"discounted_cash":141.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":175.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":186.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":67.38,"methodology":"fee schedule"}]}]},{"description":"FILTERLN SMRT PLUS O2 (M2522A)","code_information":[{"code":"70521297","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.58,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"}]}]},{"description":"FILTERLN SMRT PLUS O2 (M2522A)","code_information":[{"code":"70521297","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.07,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"}]}]},{"description":"FILTERLINE H ST AD/PED","code_information":[{"code":"70521298","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":69.35,"gross_charge":73,"discounted_cash":49.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"}]}]},{"description":"FILTERLINE H ST AD/PED","code_information":[{"code":"70521298","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.77,"maximum":69.35,"gross_charge":73,"discounted_cash":49.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.77,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 2X15 ROLL (BY IN)","code_information":[{"code":"70521344","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":8.1,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 2X15 ROLL (BY IN)","code_information":[{"code":"70521344","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":4.89,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":4.89,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 3X15 ROLL (BY IN)","code_information":[{"code":"70521345","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":9.72,"maximum":17.1,"gross_charge":18,"discounted_cash":12.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 3X15 ROLL (BY IN)","code_information":[{"code":"70521345","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":5.86,"maximum":17.1,"gross_charge":18,"discounted_cash":12.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5.86,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 5X15 ROLL (BY IN)","code_information":[{"code":"70521350","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":11.34,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 5X15 ROLL (BY IN)","code_information":[{"code":"70521350","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":6.84,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 6X15 ROLL (BY IN)","code_information":[{"code":"70521351","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":11.88,"maximum":20.9,"gross_charge":22,"discounted_cash":14.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":18.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":19.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.08,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 6X15 ROLL (BY IN)","code_information":[{"code":"70521351","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":7.17,"maximum":20.9,"gross_charge":22,"discounted_cash":14.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":18.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":19.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.17,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 4X15 ROLL (BY IN)","code_information":[{"code":"70521355","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":10.8,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS 4X15 ROLL (BY IN)","code_information":[{"code":"70521355","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":6.51,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.51,"methodology":"fee schedule"}]}]},{"description":"BLOOD WARMER(D-50)L1 HT EXC","code_information":[{"code":"70521401","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":184.14,"maximum":323.95,"gross_charge":341,"discounted_cash":232.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":184.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":231.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":218.24,"methodology":"fee schedule"}]}]},{"description":"BLOOD WARMER(D-50)L1 HT EXC","code_information":[{"code":"70521401","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":111,"maximum":323.95,"gross_charge":341,"discounted_cash":232.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":190.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":136.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"}]}]},{"description":"BLOOD WARMING COIL","code_information":[{"code":"70521406","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":56.16,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.56,"methodology":"fee schedule"}]}]},{"description":"BLOOD WARMING COIL","code_information":[{"code":"70521406","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":33.86,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.86,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE STRGHT (1206)","code_information":[{"code":"70521445","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":102.06,"maximum":179.55,"gross_charge":189,"discounted_cash":128.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":160.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE STRGHT (1206)","code_information":[{"code":"70521445","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":61.52,"maximum":179.55,"gross_charge":189,"discounted_cash":128.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":160.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":61.52,"methodology":"fee schedule"}]}]},{"description":"MEDI-VAC SUCTN CANISTER SM&LG","code_information":[{"code":"70521465","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":24.84,"maximum":43.7,"gross_charge":46,"discounted_cash":31.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":39.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.44,"methodology":"fee schedule"}]}]},{"description":"MEDI-VAC SUCTN CANISTER SM&LG","code_information":[{"code":"70521465","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":14.98,"maximum":43.7,"gross_charge":46,"discounted_cash":31.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":39.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.98,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEUS PLACMNT CATH KIT","code_information":[{"code":"70521485","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":823.5,"maximum":1448.75,"gross_charge":1525,"discounted_cash":1038.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1220,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":823.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1372.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1037,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":976,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEUS PLACMNT CATH KIT","code_information":[{"code":"70521485","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":496.39,"maximum":1448.75,"gross_charge":1525,"discounted_cash":1038.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1220,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":854,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1372.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":610,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1448.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":496.39,"methodology":"fee schedule"}]}]},{"description":"CAST REINFORCE/SUPPLIES(PLSTR)","code_information":[{"code":"70521560","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":127.44,"maximum":224.2,"gross_charge":236,"discounted_cash":160.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":200.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":212.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":160.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.04,"methodology":"fee schedule"}]}]},{"description":"CAST REINFORCE/SUPPLIES(PLSTR)","code_information":[{"code":"70521560","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":76.82,"maximum":224.2,"gross_charge":236,"discounted_cash":160.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":200.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":212.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":76.82,"methodology":"fee schedule"}]}]},{"description":"FINGER /THUMB SPLINT-LEWIN","code_information":[{"code":"70521575","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":160.92,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.72,"methodology":"fee schedule"}]}]},{"description":"FINGER /THUMB SPLINT-LEWIN","code_information":[{"code":"70521575","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":97,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97,"methodology":"fee schedule"}]}]},{"description":"CATH EPISTAXIS T3-100 STORZ","code_information":[{"code":"70521690","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":199.26,"maximum":350.55,"gross_charge":369,"discounted_cash":251.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":295.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":313.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"}]}]},{"description":"CATH EPISTAXIS T3-100 STORZ","code_information":[{"code":"70521690","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":120.11,"maximum":350.55,"gross_charge":369,"discounted_cash":251.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":295.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":206.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":313.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":120.11,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE TRAY/SYSTEM","code_information":[{"code":"70521705","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":170.1,"maximum":299.25,"gross_charge":315,"discounted_cash":214.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":267.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE TRAY/SYSTEM","code_information":[{"code":"70521705","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":102.54,"maximum":299.25,"gross_charge":315,"discounted_cash":214.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":267.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":102.54,"methodology":"fee schedule"}]}]},{"description":"GASTRIC SUMP (SALEM)","code_information":[{"code":"70521708","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":71.82,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"}]}]},{"description":"GASTRIC SUMP (SALEM)","code_information":[{"code":"70521708","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":43.3,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.3,"methodology":"fee schedule"}]}]},{"description":"INTRODUER PERC VLV SET(AK09601","code_information":[{"code":"70521737","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":78.3,"maximum":137.75,"gross_charge":145,"discounted_cash":98.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":116,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":123.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":130.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"}]}]},{"description":"INTRODUER PERC VLV SET(AK09601","code_information":[{"code":"70521737","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47.2,"maximum":137.75,"gross_charge":145,"discounted_cash":98.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":116,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":123.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":130.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"}]}]},{"description":"STOMACH TUBE KEOFEED 721088","code_information":[{"code":"70521745","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":126.9,"maximum":223.25,"gross_charge":235,"discounted_cash":160.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":211.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"}]}]},{"description":"STOMACH TUBE KEOFEED 721088","code_information":[{"code":"70521745","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":76.5,"maximum":223.25,"gross_charge":235,"discounted_cash":160.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":211.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"}]}]},{"description":"PACEMAKER LEAD KIT (INTERNAL)","code_information":[{"code":"70521790","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":551.88,"maximum":970.9,"gross_charge":1022,"discounted_cash":696.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":817.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":551.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":868.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":919.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":694.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":654.08,"methodology":"fee schedule"}]}]},{"description":"PACEMAKER LEAD KIT (INTERNAL)","code_information":[{"code":"70521790","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":332.67,"maximum":970.9,"gross_charge":1022,"discounted_cash":696.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":817.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":572.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":868.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":919.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":408.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":388.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":332.67,"methodology":"fee schedule"}]}]},{"description":"PARACENTESIS TRAY (OB)","code_information":[{"code":"70521795","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":81,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"}]}]},{"description":"PARACENTESIS TRAY (OB)","code_information":[{"code":"70521795","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":48.83,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.83,"methodology":"fee schedule"}]}]},{"description":"PERICARDIALCENTESIS TRAY","code_information":[{"code":"70521805","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":230.04,"maximum":404.7,"gross_charge":426,"discounted_cash":290.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":383.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":289.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.64,"methodology":"fee schedule"}]}]},{"description":"PERICARDIALCENTESIS TRAY","code_information":[{"code":"70521805","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":138.67,"maximum":404.7,"gross_charge":426,"discounted_cash":290.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":383.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":404.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":138.67,"methodology":"fee schedule"}]}]},{"description":"PICC LINE INSERTN 3FR GROSHONG","code_information":[{"code":"70521816","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":194.4,"maximum":342,"gross_charge":360,"discounted_cash":245.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"}]}]},{"description":"PICC LINE INSERTN 3FR GROSHONG","code_information":[{"code":"70521816","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":117.18,"maximum":342,"gross_charge":360,"discounted_cash":245.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":117.18,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 4-CANN","code_information":[{"code":"70521914","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.36,"maximum":174.8,"gross_charge":184,"discounted_cash":125.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":147.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":125.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.76,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 4-CANN","code_information":[{"code":"70521914","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.9,"maximum":174.8,"gross_charge":184,"discounted_cash":125.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":147.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":59.9,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 6-CFN","code_information":[{"code":"70521916","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":112.32,"maximum":197.6,"gross_charge":208,"discounted_cash":141.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":176.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":141.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.12,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 6-CFN","code_information":[{"code":"70521916","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":67.71,"maximum":197.6,"gross_charge":208,"discounted_cash":141.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":176.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":67.71,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 6-LPC","code_information":[{"code":"70521917","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":122.04,"maximum":214.7,"gross_charge":226,"discounted_cash":153.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":203.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.64,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 6-LPC","code_information":[{"code":"70521917","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.57,"maximum":214.7,"gross_charge":226,"discounted_cash":153.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":203.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.57,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 8-CFN","code_information":[{"code":"70521918","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":91.8,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 8-CFN","code_information":[{"code":"70521918","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":55.34,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.34,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 8-LPC","code_information":[{"code":"70521919","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":120.42,"maximum":211.85,"gross_charge":223,"discounted_cash":151.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":200.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":151.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.72,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE 8-LPC","code_information":[{"code":"70521919","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":72.59,"maximum":211.85,"gross_charge":223,"discounted_cash":151.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":200.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":72.59,"methodology":"fee schedule"}]}]},{"description":"TRACHEOTOMY TRAY","code_information":[{"code":"70521920","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":203.58,"maximum":358.15,"gross_charge":377,"discounted_cash":256.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":301.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":320.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":339.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":256.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":241.28,"methodology":"fee schedule"}]}]},{"description":"TRACHEOTOMY TRAY","code_information":[{"code":"70521920","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":122.72,"maximum":358.15,"gross_charge":377,"discounted_cash":256.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":301.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":320.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":339.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":150.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":122.72,"methodology":"fee schedule"}]}]},{"description":"CENTRAL LINE INSERTION KIT(ICU","code_information":[{"code":"70521928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":201.42,"maximum":354.35,"gross_charge":373,"discounted_cash":254.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":298.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":317.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":335.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":253.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.72,"methodology":"fee schedule"}]}]},{"description":"CENTRAL LINE INSERTION KIT(ICU","code_information":[{"code":"70521928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":121.42,"maximum":354.35,"gross_charge":373,"discounted_cash":254.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":298.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":317.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":335.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":149.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":121.42,"methodology":"fee schedule"}]}]},{"description":"EMERGENCY TRAY SPECIAL","code_information":[{"code":"70521945","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":104.22,"maximum":183.35,"gross_charge":193,"discounted_cash":131.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":154.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":173.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":131.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.52,"methodology":"fee schedule"}]}]},{"description":"EMERGENCY TRAY SPECIAL","code_information":[{"code":"70521945","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":62.83,"maximum":183.35,"gross_charge":193,"discounted_cash":131.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":154.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":173.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":77.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.83,"methodology":"fee schedule"}]}]},{"description":"SUTURE SET 3PC.","code_information":[{"code":"70521949","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":21.6,"maximum":38,"gross_charge":40,"discounted_cash":27.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"}]}]},{"description":"SUTURE SET 3PC.","code_information":[{"code":"70521949","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":13.02,"maximum":38,"gross_charge":40,"discounted_cash":27.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.02,"methodology":"fee schedule"}]}]},{"description":"SUTURE SET 6PC (ALSO IN ERS)","code_information":[{"code":"70521950","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":73.98,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.68,"methodology":"fee schedule"}]}]},{"description":"SUTURE SET 6PC (ALSO IN ERS)","code_information":[{"code":"70521950","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":44.6,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.6,"methodology":"fee schedule"}]}]},{"description":"ARTERL LINE TRANSDCR MONTR KIT","code_information":[{"code":"70521971","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.64,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"}]}]},{"description":"ARTERL LINE TRANSDCR MONTR KIT","code_information":[{"code":"70521971","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.49,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.49,"methodology":"fee schedule"}]}]},{"description":"OXYGEN HOOD LARGE F/INFANTS","code_information":[{"code":"70522014","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":30.24,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.84,"methodology":"fee schedule"}]}]},{"description":"OXYGEN HOOD LARGE F/INFANTS","code_information":[{"code":"70522014","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":18.23,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"}]}]},{"description":"CATH WORD FOR(BARLITHON CYST)","code_information":[{"code":"70522030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.98,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.68,"methodology":"fee schedule"}]}]},{"description":"CATH WORD FOR(BARLITHON CYST)","code_information":[{"code":"70522030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.6,"maximum":130.15,"gross_charge":137,"discounted_cash":93.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":116.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":123.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.6,"methodology":"fee schedule"}]}]},{"description":"SUBCLAVIAN PREP TRAY","code_information":[{"code":"70522070","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":500.04,"maximum":879.7,"gross_charge":926,"discounted_cash":630.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":787.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":833.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":629.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":592.64,"methodology":"fee schedule"}]}]},{"description":"SUBCLAVIAN PREP TRAY","code_information":[{"code":"70522070","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":301.42,"maximum":879.7,"gross_charge":926,"discounted_cash":630.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":518.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":787.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":833.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":370.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":879.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":301.42,"methodology":"fee schedule"}]}]},{"description":"SUBCLAVIAN INFUSET","code_information":[{"code":"70522071","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":88.02,"maximum":154.85,"gross_charge":163,"discounted_cash":111.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":130.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":146.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.32,"methodology":"fee schedule"}]}]},{"description":"SUBCLAVIAN INFUSET","code_information":[{"code":"70522071","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":53.06,"maximum":154.85,"gross_charge":163,"discounted_cash":111.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":130.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":138.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":146.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.06,"methodology":"fee schedule"}]}]},{"description":"AUTO-TRANSFUSION KIT D7756","code_information":[{"code":"70522075","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":273.24,"maximum":480.7,"gross_charge":506,"discounted_cash":344.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":344.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":323.84,"methodology":"fee schedule"}]}]},{"description":"AUTO-TRANSFUSION KIT D7756","code_information":[{"code":"70522075","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":164.71,"maximum":480.7,"gross_charge":506,"discounted_cash":344.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":480.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":164.71,"methodology":"fee schedule"}]}]},{"description":"AUTO-TRNFUSN RECPTCL 713184","code_information":[{"code":"70522077","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":133.92,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.72,"methodology":"fee schedule"}]}]},{"description":"AUTO-TRNFUSN RECPTCL 713184","code_information":[{"code":"70522077","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":80.73,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":138.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"}]}]},{"description":"EXTNSN SET (TWIN SITE)11959-68","code_information":[{"code":"70522092","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":12.96,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"}]}]},{"description":"EXTNSN SET (TWIN SITE)11959-68","code_information":[{"code":"70522092","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":7.82,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.82,"methodology":"fee schedule"}]}]},{"description":"JUGULAR PUNCTUR CATH SET-ADULT","code_information":[{"code":"70522102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.76,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"}]}]},{"description":"JUGULAR PUNCTUR CATH SET-ADULT","code_information":[{"code":"70522102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.88,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.88,"methodology":"fee schedule"}]}]},{"description":"JUGULAR PUNCTUR CATH SET-PEDS","code_information":[{"code":"70522105","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":61.02,"maximum":107.35,"gross_charge":113,"discounted_cash":76.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":101.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.32,"methodology":"fee schedule"}]}]},{"description":"JUGULAR PUNCTUR CATH SET-PEDS","code_information":[{"code":"70522105","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.79,"maximum":107.35,"gross_charge":113,"discounted_cash":76.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":101.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.79,"methodology":"fee schedule"}]}]},{"description":"METRISET PUMP (FBC)(V7420)","code_information":[{"code":"70522129","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":91.8,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"}]}]},{"description":"METRISET PUMP (FBC)(V7420)","code_information":[{"code":"70522129","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":55.34,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.34,"methodology":"fee schedule"}]}]},{"description":"NITROGLYCERIN IV SET","code_information":[{"code":"70522135","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":77.76,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"}]}]},{"description":"NITROGLYCERIN IV SET","code_information":[{"code":"70522135","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":46.88,"maximum":136.8,"gross_charge":144,"discounted_cash":98.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.88,"methodology":"fee schedule"}]}]},{"description":"SYS PICO 7 DRSG DBL(66022002/3","code_information":[{"code":"70522178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":524.34,"maximum":922.45,"gross_charge":971,"discounted_cash":661.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":776.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":524.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":825.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":873.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":660.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":621.44,"methodology":"fee schedule"}]}]},{"description":"SYS PICO 7 DRSG DBL(66022002/3","code_information":[{"code":"70522178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":316.07,"maximum":922.45,"gross_charge":971,"discounted_cash":661.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":776.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":825.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":873.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":316.07,"methodology":"fee schedule"}]}]},{"description":"BILI EYE PROCTR(PREM)4645A(FBC","code_information":[{"code":"70522245","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":18.9,"maximum":33.25,"gross_charge":35,"discounted_cash":23.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":31.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"}]}]},{"description":"BILI EYE PROCTR(PREM)4645A(FBC","code_information":[{"code":"70522245","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":11.4,"maximum":33.25,"gross_charge":35,"discounted_cash":23.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":31.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"}]}]},{"description":"FBC BREAST PUMP (MANUAL) C+10","code_information":[{"code":"70522253","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":27,"maximum":47.5,"gross_charge":50,"discounted_cash":34.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":42.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"}]}]},{"description":"FBC BREAST PUMP (MANUAL) C+10","code_information":[{"code":"70522253","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":16.28,"maximum":47.5,"gross_charge":50,"discounted_cash":34.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":42.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":16.28,"methodology":"fee schedule"}]}]},{"description":"FBC BREAST PUMP(ELEC)610275-C+","code_information":[{"code":"70522254","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":86.4,"maximum":152,"gross_charge":160,"discounted_cash":109,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"}]}]},{"description":"FBC BREAST PUMP(ELEC)610275-C+","code_information":[{"code":"70522254","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":52.08,"maximum":152,"gross_charge":160,"discounted_cash":109,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":52.08,"methodology":"fee schedule"}]}]},{"description":"BUTTERFLY PROBE/OHMEDA -RT","code_information":[{"code":"70522266","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":304.02,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":360.32,"methodology":"fee schedule"}]}]},{"description":"BUTTERFLY PROBE/OHMEDA -RT","code_information":[{"code":"70522266","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":183.26,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":315.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":225.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":183.26,"methodology":"fee schedule"}]}]},{"description":"CATH TRAY W/O CATH 897400","code_information":[{"code":"70522281","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.22,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"}]}]},{"description":"CATH TRAY W/O CATH 897400","code_information":[{"code":"70522281","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"}]}]},{"description":"DRESSING TRAY","code_information":[{"code":"70522326","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":56.16,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.56,"methodology":"fee schedule"}]}]},{"description":"DRESSING TRAY","code_information":[{"code":"70522326","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":33.86,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.86,"methodology":"fee schedule"}]}]},{"description":"DRESSING TRAY SMALL","code_information":[{"code":"70522329","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":28.62,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.92,"methodology":"fee schedule"}]}]},{"description":"DRESSING TRAY SMALL","code_information":[{"code":"70522329","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":17.26,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"FOOT&ELBOW PILLOW(PAD)MTK79987","code_information":[{"code":"70522343","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":41.58,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"}]}]},{"description":"FOOT&ELBOW PILLOW(PAD)MTK79987","code_information":[{"code":"70522343","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":25.07,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"}]}]},{"description":"ENT CART","code_information":[{"code":"70522344","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":219.24,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.84,"methodology":"fee schedule"}]}]},{"description":"ENT CART","code_information":[{"code":"70522344","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":132.16,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":132.16,"methodology":"fee schedule"}]}]},{"description":"FINGER COT-INSTD AMNIHOOK (FBC","code_information":[{"code":"70522365","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.6,"maximum":38,"gross_charge":40,"discounted_cash":27.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"}]}]},{"description":"FINGER COT-INSTD AMNIHOOK (FBC","code_information":[{"code":"70522365","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.02,"maximum":38,"gross_charge":40,"discounted_cash":27.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.02,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIP 30CC2WY 14F","code_information":[{"code":"70522371","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.76,"maximum":41.8,"gross_charge":44,"discounted_cash":29.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.16,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIP 30CC2WY 14F","code_information":[{"code":"70522371","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.33,"maximum":41.8,"gross_charge":44,"discounted_cash":29.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.33,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY 5CC 2WAY BARD","code_information":[{"code":"70522380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY 5CC 2WAY BARD","code_information":[{"code":"70522380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"}]}]},{"description":"CATH PWRMDLN M EZ (4154108D)","code_information":[{"code":"70522384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":311.04,"maximum":547.2,"gross_charge":576,"discounted_cash":392.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":311.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":391.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.64,"methodology":"fee schedule"}]}]},{"description":"CATH PWRMDLN M EZ (4154108D)","code_information":[{"code":"70522384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":187.49,"maximum":547.2,"gross_charge":576,"discounted_cash":392.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":187.49,"methodology":"fee schedule"}]}]},{"description":"DRNG BT ASEPT PLAS W/O TB 1000","code_information":[{"code":"70522415","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":55.08,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"}]}]},{"description":"DRNG BT ASEPT PLAS W/O TB 1000","code_information":[{"code":"70522415","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":33.21,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.21,"methodology":"fee schedule"}]}]},{"description":"LIVER BIOPSY","code_information":[{"code":"70522473","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":51.84,"maximum":91.2,"gross_charge":96,"discounted_cash":65.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"}]}]},{"description":"LIVER BIOPSY","code_information":[{"code":"70522473","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":31.25,"maximum":91.2,"gross_charge":96,"discounted_cash":65.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.25,"methodology":"fee schedule"}]}]},{"description":"MONITOR KIT-FETAL MX8030 (FBC)","code_information":[{"code":"70522509","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":197.1,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"}]}]},{"description":"MONITOR KIT-FETAL MX8030 (FBC)","code_information":[{"code":"70522509","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":118.81,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.81,"methodology":"fee schedule"}]}]},{"description":"ORTHOFUSER FILTER-PALL","code_information":[{"code":"70522536","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"}]}]},{"description":"ORTHOFUSER FILTER-PALL","code_information":[{"code":"70522536","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":24.42,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.42,"methodology":"fee schedule"}]}]},{"description":"PERCUTNUS SHEATH INTRO KIT 6FR","code_information":[{"code":"70522540","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":107.46,"maximum":189.05,"gross_charge":199,"discounted_cash":135.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":159.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":169.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":179.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":127.36,"methodology":"fee schedule"}]}]},{"description":"PERCUTNUS SHEATH INTRO KIT 6FR","code_information":[{"code":"70522540","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.78,"maximum":189.05,"gross_charge":199,"discounted_cash":135.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":159.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":169.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":179.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":79.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"}]}]},{"description":"CATH PACING 5FR BALLOON TIP","code_information":[{"code":"70522542","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":253.26,"maximum":445.55,"gross_charge":469,"discounted_cash":319.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":375.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":253.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":398.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":422.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":318.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":300.16,"methodology":"fee schedule"}]}]},{"description":"CATH PACING 5FR BALLOON TIP","code_information":[{"code":"70522542","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.66,"maximum":445.55,"gross_charge":469,"discounted_cash":319.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":375.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":262.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":398.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":422.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":187.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":445.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":152.66,"methodology":"fee schedule"}]}]},{"description":"PACEMKR LEADS ELECTROMEDICAL","code_information":[{"code":"70522545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.64,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.24,"methodology":"fee schedule"}]}]},{"description":"PACEMKR LEADS ELECTROMEDICAL","code_information":[{"code":"70522545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.76,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.76,"methodology":"fee schedule"}]}]},{"description":"PERIST STOMA CVR 8X8 S21715","code_information":[{"code":"70522554","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":160.92,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.72,"methodology":"fee schedule"}]}]},{"description":"PERIST STOMA CVR 8X8 S21715","code_information":[{"code":"70522554","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":97,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97,"methodology":"fee schedule"}]}]},{"description":"TRACTION (EXTREMITY)","code_information":[{"code":"70522719","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":41.04,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"}]}]},{"description":"TRACTION (EXTREMITY)","code_information":[{"code":"70522719","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":24.74,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.74,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH 8F","code_information":[{"code":"70522722","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.46,"maximum":94.05,"gross_charge":99,"discounted_cash":67.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH 8F","code_information":[{"code":"70522722","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.23,"maximum":94.05,"gross_charge":99,"discounted_cash":67.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.23,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH 3.5F","code_information":[{"code":"70522723","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":33.48,"maximum":58.9,"gross_charge":62,"discounted_cash":42.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":55.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.68,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH 3.5F","code_information":[{"code":"70522723","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.19,"maximum":58.9,"gross_charge":62,"discounted_cash":42.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":55.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.19,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH TRAY (FBC)","code_information":[{"code":"70522728","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":93.42,"maximum":164.35,"gross_charge":173,"discounted_cash":117.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":138.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":93.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":147.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":155.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":117.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.72,"methodology":"fee schedule"}]}]},{"description":"UMBILICAL CATH TRAY (FBC)","code_information":[{"code":"70522728","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":56.32,"maximum":164.35,"gross_charge":173,"discounted_cash":117.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":138.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":147.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":155.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":56.32,"methodology":"fee schedule"}]}]},{"description":"WD VAC SYS-DSG GRANUFM SLVR LG","code_information":[{"code":"70522732","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":277.4,"gross_charge":292,"discounted_cash":198.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.88,"methodology":"fee schedule"}]}]},{"description":"WD VAC SYS-DSG GRANUFM SLVR LG","code_information":[{"code":"70522732","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":95.05,"maximum":277.4,"gross_charge":292,"discounted_cash":198.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":95.05,"methodology":"fee schedule"}]}]},{"description":"WD CARE DRSG FOAM LG(66020796)","code_information":[{"code":"70522733","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.88,"maximum":163.4,"gross_charge":172,"discounted_cash":117.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"}]}]},{"description":"WD CARE DRSG FOAM LG(66020796)","code_information":[{"code":"70522733","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":55.99,"maximum":163.4,"gross_charge":172,"discounted_cash":117.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.99,"methodology":"fee schedule"}]}]},{"description":"WD VAC SYS DRSG GRANUFOAM XL","code_information":[{"code":"70522734","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":317.52,"maximum":558.6,"gross_charge":588,"discounted_cash":400.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":470.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":317.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":499.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":529.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":399.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":376.32,"methodology":"fee schedule"}]}]},{"description":"WD VAC SYS DRSG GRANUFOAM XL","code_information":[{"code":"70522734","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":191.4,"maximum":558.6,"gross_charge":588,"discounted_cash":400.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":470.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":499.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":529.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":558.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":223.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":191.4,"methodology":"fee schedule"}]}]},{"description":"FBC VACUUM EXTRACTOR HND/ELEC","code_information":[{"code":"70522737","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":52.38,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.08,"methodology":"fee schedule"}]}]},{"description":"FBC VACUUM EXTRACTOR HND/ELEC","code_information":[{"code":"70522737","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":31.58,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.58,"methodology":"fee schedule"}]}]},{"description":"VENESECTION TRAY (CUT-DOWM VEN","code_information":[{"code":"70522743","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":90.72,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"}]}]},{"description":"VENESECTION TRAY (CUT-DOWM VEN","code_information":[{"code":"70522743","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":54.69,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.69,"methodology":"fee schedule"}]}]},{"description":"BIO PATCH 2.5CM X 1","code_information":[{"code":"70522919","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.7,"maximum":52.25,"gross_charge":55,"discounted_cash":37.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"}]}]},{"description":"BIO PATCH 2.5CM X 1","code_information":[{"code":"70522919","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.91,"maximum":52.25,"gross_charge":55,"discounted_cash":37.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.91,"methodology":"fee schedule"}]}]},{"description":"CATH GROSHONG INSRT KIT OP/SUR","code_information":[{"code":"70522962","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.14,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"}]}]},{"description":"CATH GROSHONG INSRT KIT OP/SUR","code_information":[{"code":"70522962","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.63,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.63,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE (VR416 VICRYL/J-3)","code_information":[{"code":"70523001","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.86,"maximum":56.05,"gross_charge":59,"discounted_cash":40.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.76,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE (VR416 VICRYL/J-3)","code_information":[{"code":"70523001","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.21,"maximum":56.05,"gross_charge":59,"discounted_cash":40.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.21,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE X932 VICRYL","code_information":[{"code":"70523003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.18,"maximum":111.15,"gross_charge":117,"discounted_cash":79.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":99.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":105.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":79.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.88,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE X932 VICRYL","code_information":[{"code":"70523003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.09,"maximum":111.15,"gross_charge":117,"discounted_cash":79.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":99.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":105.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.09,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE VR932 VICRYL","code_information":[{"code":"70523005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.4,"maximum":104.5,"gross_charge":110,"discounted_cash":74.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":93.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE VR932 VICRYL","code_information":[{"code":"70523005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.81,"maximum":104.5,"gross_charge":110,"discounted_cash":74.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":93.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":35.81,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE J532","code_information":[{"code":"70523011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.54,"maximum":95.95,"gross_charge":101,"discounted_cash":68.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.64,"methodology":"fee schedule"}]}]},{"description":"FBC SUTURE J532","code_information":[{"code":"70523011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.88,"maximum":95.95,"gross_charge":101,"discounted_cash":68.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.88,"methodology":"fee schedule"}]}]},{"description":"NURSERY PKU KIT (SAME AS COST)","code_information":[{"code":"70523013","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":49.14,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"}]}]},{"description":"NURSERY PKU KIT (SAME AS COST)","code_information":[{"code":"70523013","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":29.63,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.63,"methodology":"fee schedule"}]}]},{"description":"FBC STARTER SNS","code_information":[{"code":"70523030","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":46.44,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"}]}]},{"description":"FBC STARTER SNS","code_information":[{"code":"70523030","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":28,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"}]}]},{"description":"CATH CYSTO 12F 330-12","code_information":[{"code":"70523161","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":375.84,"maximum":661.2,"gross_charge":696,"discounted_cash":474.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":556.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":375.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":591.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":473.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":445.44,"methodology":"fee schedule"}]}]},{"description":"CATH CYSTO 12F 330-12","code_information":[{"code":"70523161","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":226.55,"maximum":661.2,"gross_charge":696,"discounted_cash":474.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":556.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":591.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":226.55,"methodology":"fee schedule"}]}]},{"description":"PEDS TRANSPRNT DRNBL 209-11","code_information":[{"code":"70523164","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":17.28,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.48,"methodology":"fee schedule"}]}]},{"description":"PEDS TRANSPRNT DRNBL 209-11","code_information":[{"code":"70523164","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":10.42,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.42,"methodology":"fee schedule"}]}]},{"description":"COLD INJECT SYSTEM 93-500","code_information":[{"code":"70523168","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":313.2,"maximum":551,"gross_charge":580,"discounted_cash":395.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"}]}]},{"description":"COLD INJECT SYSTEM 93-500","code_information":[{"code":"70523168","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":188.79,"maximum":551,"gross_charge":580,"discounted_cash":395.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":232,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":188.79,"methodology":"fee schedule"}]}]},{"description":"DRSNG CHANGE LEVEL 2","code_information":[{"code":"70523181","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":19.98,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.68,"methodology":"fee schedule"}]}]},{"description":"DRSNG CHANGE LEVEL 2","code_information":[{"code":"70523181","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":12.05,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.05,"methodology":"fee schedule"}]}]},{"description":"ELECTRD RESUS 1STP COMPLT AD","code_information":[{"code":"70523191","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":174.96,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":220.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"}]}]},{"description":"ELECTRD RESUS 1STP COMPLT AD","code_information":[{"code":"70523191","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":105.47,"maximum":307.8,"gross_charge":324,"discounted_cash":220.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.47,"methodology":"fee schedule"}]}]},{"description":"ELECTRD RESUS 1 STP W CPR PED","code_information":[{"code":"70523192","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":166.86,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"}]}]},{"description":"ELECTRD RESUS 1 STP W CPR PED","code_information":[{"code":"70523192","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":100.58,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":123.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":100.58,"methodology":"fee schedule"}]}]},{"description":"ET TUBE","code_information":[{"code":"70523202","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"}]}]},{"description":"ET TUBE","code_information":[{"code":"70523202","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.42,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.42,"methodology":"fee schedule"}]}]},{"description":"K2R GASTROINTESTINAL TUBE","code_information":[{"code":"70523232","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":320.22,"maximum":563.35,"gross_charge":593,"discounted_cash":403.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":533.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":403.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":379.52,"methodology":"fee schedule"}]}]},{"description":"K2R GASTROINTESTINAL TUBE","code_information":[{"code":"70523232","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":193.03,"maximum":563.35,"gross_charge":593,"discounted_cash":403.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":533.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":237.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":193.03,"methodology":"fee schedule"}]}]},{"description":"MORGAN THERP LENS 05103","code_information":[{"code":"70523247","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":74.52,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"}]}]},{"description":"MORGAN THERP LENS 05103","code_information":[{"code":"70523247","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":44.92,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.92,"methodology":"fee schedule"}]}]},{"description":"NEEDLE SET EZ-IO (ADULT)","code_information":[{"code":"70523251","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":250.56,"maximum":440.8,"gross_charge":464,"discounted_cash":316.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":417.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":315.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":296.96,"methodology":"fee schedule"}]}]},{"description":"NEEDLE SET EZ-IO (ADULT)","code_information":[{"code":"70523251","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":151.04,"maximum":440.8,"gross_charge":464,"discounted_cash":316.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":417.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":185.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":176.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":151.04,"methodology":"fee schedule"}]}]},{"description":"NEEDLE SET EZ-IO (PEDS)","code_information":[{"code":"70523252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":61.56,"maximum":108.3,"gross_charge":114,"discounted_cash":77.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":77.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"}]}]},{"description":"NEEDLE SET EZ-IO (PEDS)","code_information":[{"code":"70523252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.11,"maximum":108.3,"gross_charge":114,"discounted_cash":77.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.11,"methodology":"fee schedule"}]}]},{"description":"OB TRAY","code_information":[{"code":"70523262","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":112.86,"maximum":198.55,"gross_charge":209,"discounted_cash":142.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":142.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.76,"methodology":"fee schedule"}]}]},{"description":"OB TRAY","code_information":[{"code":"70523262","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":68.03,"maximum":198.55,"gross_charge":209,"discounted_cash":142.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":68.03,"methodology":"fee schedule"}]}]},{"description":"PACEMAKER","code_information":[{"code":"70523274","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":247.86,"maximum":436.05,"gross_charge":459,"discounted_cash":312.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":390.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.76,"methodology":"fee schedule"}]}]},{"description":"PACEMAKER","code_information":[{"code":"70523274","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":149.41,"maximum":436.05,"gross_charge":459,"discounted_cash":312.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":257.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":390.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":149.41,"methodology":"fee schedule"}]}]},{"description":"CERVICAL COLLAR MED (MJ301060)","code_information":[{"code":"70523322","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":75.06,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.96,"methodology":"fee schedule"}]}]},{"description":"CERVICAL COLLAR MED (MJ301060)","code_information":[{"code":"70523322","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":45.25,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":45.25,"methodology":"fee schedule"}]}]},{"description":"CATHETER TRIPLE LUMEN","code_information":[{"code":"70523460","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":242.46,"maximum":426.55,"gross_charge":449,"discounted_cash":305.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":359.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":404.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":305.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":287.36,"methodology":"fee schedule"}]}]},{"description":"CATHETER TRIPLE LUMEN","code_information":[{"code":"70523460","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.15,"maximum":426.55,"gross_charge":449,"discounted_cash":305.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":359.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":404.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":179.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":146.15,"methodology":"fee schedule"}]}]},{"description":"ELBOW SPLINT POSTERIOR","code_information":[{"code":"70523526","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":162,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"}]}]},{"description":"ELBOW SPLINT POSTERIOR","code_information":[{"code":"70523526","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":97.65,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.65,"methodology":"fee schedule"}]}]},{"description":"KNEE SUPPORT 15-0400","code_information":[{"code":"70523528","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":120.42,"maximum":211.85,"gross_charge":223,"discounted_cash":151.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":200.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":151.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.72,"methodology":"fee schedule"}]}]},{"description":"KNEE SUPPORT 15-0400","code_information":[{"code":"70523528","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":72.59,"maximum":211.85,"gross_charge":223,"discounted_cash":151.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":189.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":200.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":72.59,"methodology":"fee schedule"}]}]},{"description":"SPLINT FEM TRACTION DISP","code_information":[{"code":"70523545","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":187.92,"maximum":330.6,"gross_charge":348,"discounted_cash":237.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":295.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":236.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.72,"methodology":"fee schedule"}]}]},{"description":"SPLINT FEM TRACTION DISP","code_information":[{"code":"70523545","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":113.28,"maximum":330.6,"gross_charge":348,"discounted_cash":237.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":295.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"}]}]},{"description":"SPLINT POST TIB/FIBULA 6640","code_information":[{"code":"70523548","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":219.24,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.84,"methodology":"fee schedule"}]}]},{"description":"SPLINT POST TIB/FIBULA 6640","code_information":[{"code":"70523548","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":132.16,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":132.16,"methodology":"fee schedule"}]}]},{"description":"SPLINT METACARPAL (FINGER)","code_information":[{"code":"70523550","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":114.48,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.68,"methodology":"fee schedule"}]}]},{"description":"SPLINT METACARPAL (FINGER)","code_information":[{"code":"70523550","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":69.01,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.01,"methodology":"fee schedule"}]}]},{"description":"FOLEY SENSOR KIT","code_information":[{"code":"70523627","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":269.46,"maximum":474.05,"gross_charge":499,"discounted_cash":339.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":399.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":269.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":449.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":339.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.36,"methodology":"fee schedule"}]}]},{"description":"FOLEY SENSOR KIT","code_information":[{"code":"70523627","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":162.43,"maximum":474.05,"gross_charge":499,"discounted_cash":339.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":399.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":279.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":424.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":449.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":199.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":474.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":162.43,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE TIP 3WY-30CC(ALL","code_information":[{"code":"70523705","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":161.46,"maximum":284.05,"gross_charge":299,"discounted_cash":203.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":254.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":269.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":203.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.36,"methodology":"fee schedule"}]}]},{"description":"CATH COUDE TIP 3WY-30CC(ALL","code_information":[{"code":"70523705","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":97.33,"maximum":284.05,"gross_charge":299,"discounted_cash":203.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":254.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":269.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.33,"methodology":"fee schedule"}]}]},{"description":"LITTON TUBE 20FR 9274","code_information":[{"code":"70523730","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":788.4,"maximum":1387,"gross_charge":1460,"discounted_cash":994.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1168,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1241,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1314,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":992.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":934.4,"methodology":"fee schedule"}]}]},{"description":"LITTON TUBE 20FR 9274","code_information":[{"code":"70523730","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":475.23,"maximum":1387,"gross_charge":1460,"discounted_cash":994.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1168,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":817.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1241,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1314,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":554.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":475.23,"methodology":"fee schedule"}]}]},{"description":"STOMACH TUBE ENTERAL FEEDING","code_information":[{"code":"70523750","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.3,"maximum":232.75,"gross_charge":245,"discounted_cash":166.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":208.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":220.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"}]}]},{"description":"STOMACH TUBE ENTERAL FEEDING","code_information":[{"code":"70523750","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":79.75,"maximum":232.75,"gross_charge":245,"discounted_cash":166.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":208.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":220.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":98,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":79.75,"methodology":"fee schedule"}]}]},{"description":"NASAL TUBE CUFFED (ALL)","code_information":[{"code":"70523875","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.88,"maximum":258.4,"gross_charge":272,"discounted_cash":185.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":184.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.08,"methodology":"fee schedule"}]}]},{"description":"NASAL TUBE CUFFED (ALL)","code_information":[{"code":"70523875","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.54,"maximum":258.4,"gross_charge":272,"discounted_cash":185.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":88.54,"methodology":"fee schedule"}]}]},{"description":"OXYGEN IN ER - HOURLY","code_information":[{"code":"70524002","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":23.22,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"}]}]},{"description":"OXYGEN IN ER - HOURLY","code_information":[{"code":"70524002","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":14,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"}]}]},{"description":"NURS OXYGEN BLOW-BY","code_information":[{"code":"70524005","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":23.22,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"}]}]},{"description":"NURS OXYGEN BLOW-BY","code_information":[{"code":"70524005","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":14,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"}]}]},{"description":"DRSNG ALLEVYN 9X9IN (66020984)","code_information":[{"code":"70524013","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":79.38,"maximum":139.65,"gross_charge":147,"discounted_cash":100.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":117.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":124.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"}]}]},{"description":"DRSNG ALLEVYN 9X9IN (66020984)","code_information":[{"code":"70524013","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47.85,"maximum":139.65,"gross_charge":147,"discounted_cash":100.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":117.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":124.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":47.85,"methodology":"fee schedule"}]}]},{"description":"DRSNG F-CNTRL/PICC LN(CHIP0303","code_information":[{"code":"70524015","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.82,"maximum":78.85,"gross_charge":83,"discounted_cash":56.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"DRSNG F-CNTRL/PICC LN(CHIP0303","code_information":[{"code":"70524015","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.02,"maximum":78.85,"gross_charge":83,"discounted_cash":56.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.02,"methodology":"fee schedule"}]}]},{"description":"DRSG AQUACEL HYDRFBR 3.5X9.75","code_information":[{"code":"70524019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.64,"maximum":157.7,"gross_charge":166,"discounted_cash":113.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"DRSG AQUACEL HYDRFBR 3.5X9.75","code_information":[{"code":"70524019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.04,"maximum":157.7,"gross_charge":166,"discounted_cash":113.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.04,"methodology":"fee schedule"}]}]},{"description":"MONITOR CABLE& 5LEAD SYS DSPL","code_information":[{"code":"70525520","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":37.8,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"}]}]},{"description":"MONITOR CABLE& 5LEAD SYS DSPL","code_information":[{"code":"70525520","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":22.79,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.79,"methodology":"fee schedule"}]}]},{"description":"TELEMTRY CABLE& 5LEAD SYS DSPL","code_information":[{"code":"70525522","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":57.78,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.48,"methodology":"fee schedule"}]}]},{"description":"TELEMTRY CABLE& 5LEAD SYS DSPL","code_information":[{"code":"70525522","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":34.83,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":34.83,"methodology":"fee schedule"}]}]},{"description":"SKIN STAPLES (EA.GUN)","code_information":[{"code":"70527000","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"}]}]},{"description":"SKIN STAPLES (EA.GUN)","code_information":[{"code":"70527000","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.55,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.55,"methodology":"fee schedule"}]}]},{"description":"SUTURES-MINOR (3-4PKGS SUTURES","code_information":[{"code":"70527255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":106.92,"maximum":188.1,"gross_charge":198,"discounted_cash":134.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":178.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.72,"methodology":"fee schedule"}]}]},{"description":"SUTURES-MINOR (3-4PKGS SUTURES","code_information":[{"code":"70527255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.45,"maximum":188.1,"gross_charge":198,"discounted_cash":134.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":178.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.45,"methodology":"fee schedule"}]}]},{"description":"SUTURES-MAJOR (5-6PKGS SUTURES","code_information":[{"code":"70527260","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":210.06,"maximum":369.55,"gross_charge":389,"discounted_cash":265.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":311.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":210.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":350.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.96,"methodology":"fee schedule"}]}]},{"description":"SUTURES-MAJOR (5-6PKGS SUTURES","code_information":[{"code":"70527260","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":126.62,"maximum":369.55,"gross_charge":389,"discounted_cash":265.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":311.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":217.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":350.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":155.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":126.62,"methodology":"fee schedule"}]}]},{"description":"PT CPM MACHINE SUPPLIES","code_information":[{"code":"70528039","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":31.32,"maximum":55.1,"gross_charge":58,"discounted_cash":39.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":49.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":52.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":39.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.12,"methodology":"fee schedule"}]}]},{"description":"PT CPM MACHINE SUPPLIES","code_information":[{"code":"70528039","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":18.88,"maximum":55.1,"gross_charge":58,"discounted_cash":39.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":49.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":52.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.88,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS/FACE/NECK W/O CONT","code_information":[{"code":"70540","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1751.22,"maximum":3080.85,"gross_charge":3243,"discounted_cash":2209.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2594.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1751.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2918.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2075.52,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS/FACE/NECK W/O CONT","code_information":[{"code":"70540","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":184.19,"maximum":3080.85,"gross_charge":3243,"discounted_cash":2209.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1291.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1816.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2918.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1297.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3080.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1055.6,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS FACE/NECK W/CONT","code_information":[{"code":"70542","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2143.26,"maximum":3770.55,"gross_charge":3969,"discounted_cash":2703.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2143.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2698.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2540.16,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS FACE/NECK W/CONT","code_information":[{"code":"70542","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":217.92,"maximum":3770.55,"gross_charge":3969,"discounted_cash":2703.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1427.13,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2222.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3770.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1291.91,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS FACE/NECK W/ & W/O","code_information":[{"code":"70543","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2613.6,"maximum":4598,"gross_charge":4840,"discounted_cash":3297.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3872,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2613.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4114,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4356,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3291.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3097.6,"methodology":"fee schedule"}]}]},{"description":"MRI ORBITS FACE/NECK W/ & W/O","code_information":[{"code":"70543","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":276.09,"maximum":4598,"gross_charge":4840,"discounted_cash":3297.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1861.43,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2710.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4114,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4356,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1936,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4598,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":276.09,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1575.42,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W/O CONTRAST","code_information":[{"code":"70544","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2023.92,"maximum":3560.6,"gross_charge":3748,"discounted_cash":2553.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2998.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2023.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3185.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2548.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2398.72,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W/O CONTRAST","code_information":[{"code":"70544","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":175.89,"maximum":3560.6,"gross_charge":3748,"discounted_cash":2553.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.39,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2098.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3185.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3560.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1219.98,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W/CONTRAST","code_information":[{"code":"70545","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2205.9,"maximum":3880.75,"gross_charge":4085,"discounted_cash":2782.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3268,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3472.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3676.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2777.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2614.4,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W/CONTRAST","code_information":[{"code":"70545","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":185.88,"maximum":3880.75,"gross_charge":4085,"discounted_cash":2782.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1443.29,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3472.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3676.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1329.67,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W & W/O CONTRAST","code_information":[{"code":"70546","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2751.84,"maximum":4841.2,"gross_charge":5096,"discounted_cash":3471.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4076.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2751.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4331.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4586.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3465.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3261.44,"methodology":"fee schedule"}]}]},{"description":"MRA HEAD W & W/O CONTRAST","code_information":[{"code":"70546","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":269.45,"maximum":4841.2,"gross_charge":5096,"discounted_cash":3471.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2285.63,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2853.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4331.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4586.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2038.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4841.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":269.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1658.75,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W/O CONTRAST","code_information":[{"code":"70547","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":1926.72,"maximum":3389.6,"gross_charge":3568,"discounted_cash":2430.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2854.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1926.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3032.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3211.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2283.52,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W/O CONTRAST","code_information":[{"code":"70547","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":176.43,"maximum":3389.6,"gross_charge":3568,"discounted_cash":2430.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1450.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1998.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3032.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3211.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1427.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":176.43,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1161.39,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W/CONTRAST","code_information":[{"code":"70548","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2248.02,"maximum":3954.85,"gross_charge":4163,"discounted_cash":2836.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3330.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2248.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3538.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2830.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2664.32,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W/CONTRAST","code_information":[{"code":"70548","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":200.96,"maximum":3954.85,"gross_charge":4163,"discounted_cash":2836.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2331.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3538.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3954.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1355.06,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W & W/O CONTRAST","code_information":[{"code":"70549","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2619.54,"maximum":4608.45,"gross_charge":4851,"discounted_cash":3304.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2619.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4123.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4365.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3298.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3104.64,"methodology":"fee schedule"}]}]},{"description":"MRA NECK W & W/O CONTRAST","code_information":[{"code":"70549","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":282.19,"maximum":4608.45,"gross_charge":4851,"discounted_cash":3304.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.65,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2716.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4123.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4365.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1940.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1579.01,"methodology":"fee schedule"}]}]},{"description":"CLIP DYN LG COMB CLAMP NS","code_information":[{"code":"70550015","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":238.14,"maximum":418.95,"gross_charge":441,"discounted_cash":300.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"}]}]},{"description":"CLIP DYN LG COMB CLAMP NS","code_information":[{"code":"70550015","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":143.55,"maximum":418.95,"gross_charge":441,"discounted_cash":300.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":246.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":143.55,"methodology":"fee schedule"}]}]},{"description":"CLAMP ADJ-OPN MR-SFE LG NS","code_information":[{"code":"70550016","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1087.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1288.96,"methodology":"fee schedule"}]}]},{"description":"CLAMP ADJ-OPN MR-SFE LG NS","code_information":[{"code":"70550016","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":655.56,"maximum":1913.3,"gross_charge":2014,"discounted_cash":1372.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":805.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":655.56,"methodology":"fee schedule"}]}]},{"description":"CLAMP LG-PIN 6H MR-SFE NS","code_information":[{"code":"70550017","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":867.24,"maximum":1525.7,"gross_charge":1606,"discounted_cash":1094.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1284.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":867.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1365.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1445.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1027.84,"methodology":"fee schedule"}]}]},{"description":"CLAMP LG-PIN 6H MR-SFE NS","code_information":[{"code":"70550017","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":522.76,"maximum":1525.7,"gross_charge":1606,"discounted_cash":1094.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1284.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":899.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1365.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1445.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":642.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":610.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":522.76,"methodology":"fee schedule"}]}]},{"description":"CLAMP TRANSVRS EXT-FX LG NS","code_information":[{"code":"70550019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":281.34,"maximum":494.95,"gross_charge":521,"discounted_cash":354.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":416.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":281.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":442.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":468.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":354.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":333.44,"methodology":"fee schedule"}]}]},{"description":"CLAMP TRANSVRS EXT-FX LG NS","code_information":[{"code":"70550019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":169.59,"maximum":494.95,"gross_charge":521,"discounted_cash":354.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":416.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":291.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":442.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":468.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":208.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":169.59,"methodology":"fee schedule"}]}]},{"description":"CAP PROTCT 11M TB/ROD CFBR NS","code_information":[{"code":"70550020","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.36,"maximum":79.8,"gross_charge":84,"discounted_cash":57.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":71.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"}]}]},{"description":"CAP PROTCT 11M TB/ROD CFBR NS","code_information":[{"code":"70550020","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.35,"maximum":79.8,"gross_charge":84,"discounted_cash":57.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":71.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.35,"methodology":"fee schedule"}]}]},{"description":"CAP PROTCT 5.0MM FX-PIN","code_information":[{"code":"70550025","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":96.12,"maximum":169.1,"gross_charge":178,"discounted_cash":121.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":142.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":151.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":160.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":121.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.92,"methodology":"fee schedule"}]}]},{"description":"CAP PROTCT 5.0MM FX-PIN","code_information":[{"code":"70550025","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":57.94,"maximum":169.1,"gross_charge":178,"discounted_cash":121.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":142.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":151.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":160.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":71.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":57.94,"methodology":"fee schedule"}]}]},{"description":"PIN STNMN TRAC C-THRD 5.0","code_information":[{"code":"70550027","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":305.1,"maximum":536.75,"gross_charge":565,"discounted_cash":384.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":452,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":480.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":508.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":361.6,"methodology":"fee schedule"}]}]},{"description":"PIN STNMN TRAC C-THRD 5.0","code_information":[{"code":"70550027","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":183.91,"maximum":536.75,"gross_charge":565,"discounted_cash":384.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":452,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":480.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":508.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":226,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":183.91,"methodology":"fee schedule"}]}]},{"description":"PIN TRANFX 6.0X225 NS","code_information":[{"code":"70550031","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":306.18,"maximum":538.65,"gross_charge":567,"discounted_cash":386.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":453.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":306.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":481.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":510.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":385.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.88,"methodology":"fee schedule"}]}]},{"description":"PIN TRANFX 6.0X225 NS","code_information":[{"code":"70550031","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":184.56,"maximum":538.65,"gross_charge":567,"discounted_cash":386.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":453.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":317.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":481.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":510.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":226.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":538.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":184.56,"methodology":"fee schedule"}]}]},{"description":"CLAMP ADJ-OPN MR-SFE LG NS","code_information":[{"code":"70550033","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1011.96,"maximum":1780.3,"gross_charge":1874,"discounted_cash":1276.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1686.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1274.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1199.36,"methodology":"fee schedule"}]}]},{"description":"CLAMP ADJ-OPN MR-SFE LG NS","code_information":[{"code":"70550033","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":609.99,"maximum":1780.3,"gross_charge":1874,"discounted_cash":1276.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1049.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1686.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":749.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1780.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":712.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":609.99,"methodology":"fee schedule"}]}]},{"description":"CLAMP TRANSVRS EXT-FX LG NS","code_information":[{"code":"70550036","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1260.9,"maximum":2218.25,"gross_charge":2335,"discounted_cash":1590.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1260.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1984.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2101.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1494.4,"methodology":"fee schedule"}]}]},{"description":"CLAMP TRANSVRS EXT-FX LG NS","code_information":[{"code":"70550036","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":760.05,"maximum":2218.25,"gross_charge":2335,"discounted_cash":1590.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1984.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2101.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":934,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2218.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":887.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":760.05,"methodology":"fee schedule"}]}]},{"description":"SUT MONODERM HLF CIR36MM","code_information":[{"code":"70550043","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":58.86,"maximum":103.55,"gross_charge":109,"discounted_cash":74.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":87.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":92.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":98.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.76,"methodology":"fee schedule"}]}]},{"description":"SUT MONODERM HLF CIR36MM","code_information":[{"code":"70550043","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":35.48,"maximum":103.55,"gross_charge":109,"discounted_cash":74.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":87.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":92.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":98.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":43.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":35.48,"methodology":"fee schedule"}]}]},{"description":"WIRE TRCR 1.6X150MM","code_information":[{"code":"70550059","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":65.34,"maximum":114.95,"gross_charge":121,"discounted_cash":82.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.44,"methodology":"fee schedule"}]}]},{"description":"WIRE TRCR 1.6X150MM","code_information":[{"code":"70550059","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":39.39,"maximum":114.95,"gross_charge":121,"discounted_cash":82.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.39,"methodology":"fee schedule"}]}]},{"description":"GWIRE TROCAR TIP 1.1MM","code_information":[{"code":"70550076","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":62.64,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.24,"methodology":"fee schedule"}]}]},{"description":"GWIRE TROCAR TIP 1.1MM","code_information":[{"code":"70550076","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":37.76,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.76,"methodology":"fee schedule"}]}]},{"description":"BLOCK NERVE C-BLK 2-14ML/HR","code_information":[{"code":"70550079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":734.4,"maximum":1292,"gross_charge":1360,"discounted_cash":926.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1088,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1156,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":924.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":870.4,"methodology":"fee schedule"}]}]},{"description":"BLOCK NERVE C-BLK 2-14ML/HR","code_information":[{"code":"70550079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":442.68,"maximum":1292,"gross_charge":1360,"discounted_cash":926.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1088,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":761.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1156,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1224,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":544,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":442.68,"methodology":"fee schedule"}]}]},{"description":"FIBER TAPE 17IN STR NDL","code_information":[{"code":"70550084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":442.26,"maximum":778.05,"gross_charge":819,"discounted_cash":557.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":655.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":442.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":696.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":737.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":556.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":524.16,"methodology":"fee schedule"}]}]},{"description":"FIBER TAPE 17IN STR NDL","code_information":[{"code":"70550084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":266.59,"maximum":778.05,"gross_charge":819,"discounted_cash":557.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":655.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":458.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":696.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":737.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":327.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":778.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":266.59,"methodology":"fee schedule"}]}]},{"description":"CAPTIVATOR II RND STIFF 15MM","code_information":[{"code":"70550086","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.66,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.56,"methodology":"fee schedule"}]}]},{"description":"CAPTIVATOR II RND STIFF 15MM","code_information":[{"code":"70550086","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.72,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.72,"methodology":"fee schedule"}]}]},{"description":"SNARE POLYP MIC OVL CAPTFLX 13","code_information":[{"code":"70550087","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.26,"maximum":65.55,"gross_charge":69,"discounted_cash":47.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"}]}]},{"description":"SNARE POLYP MIC OVL CAPTFLX 13","code_information":[{"code":"70550087","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.46,"maximum":65.55,"gross_charge":69,"discounted_cash":47.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.46,"methodology":"fee schedule"}]}]},{"description":"CLIP RESOLTN 360 ULT","code_information":[{"code":"70550089","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":742.5,"maximum":1306.25,"gross_charge":1375,"discounted_cash":936.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":742.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":935,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":880,"methodology":"fee schedule"}]}]},{"description":"CLIP RESOLTN 360 ULT","code_information":[{"code":"70550089","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":447.57,"maximum":1306.25,"gross_charge":1375,"discounted_cash":936.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":770,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":550,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1306.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":522.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":447.57,"methodology":"fee schedule"}]}]},{"description":"LIGATOR SPDBND 2.8MM 8.6-11.5","code_information":[{"code":"70550090","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":483.3,"maximum":850.25,"gross_charge":895,"discounted_cash":609.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":716,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":483.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":760.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":805.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":608.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":572.8,"methodology":"fee schedule"}]}]},{"description":"LIGATOR SPDBND 2.8MM 8.6-11.5","code_information":[{"code":"70550090","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":291.33,"maximum":850.25,"gross_charge":895,"discounted_cash":609.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":716,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":501.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":760.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":805.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":358,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":850.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":291.33,"methodology":"fee schedule"}]}]},{"description":"STERIFLATE CRE 60CC STRL","code_information":[{"code":"70550092","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":97.2,"maximum":171,"gross_charge":180,"discounted_cash":122.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"}]}]},{"description":"STERIFLATE CRE 60CC STRL","code_information":[{"code":"70550092","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":58.59,"maximum":171,"gross_charge":180,"discounted_cash":122.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":58.59,"methodology":"fee schedule"}]}]},{"description":"SUT STRTFX O SYM PDS PLUS 30CM","code_information":[{"code":"70550093","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":66.42,"maximum":116.85,"gross_charge":123,"discounted_cash":83.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":98.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":104.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":83.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"}]}]},{"description":"SUT STRTFX O SYM PDS PLUS 30CM","code_information":[{"code":"70550093","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.04,"maximum":116.85,"gross_charge":123,"discounted_cash":83.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":98.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":104.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.04,"methodology":"fee schedule"}]}]},{"description":"WIRE K 1.6X200MM","code_information":[{"code":"70550095","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":97.2,"maximum":171,"gross_charge":180,"discounted_cash":122.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"}]}]},{"description":"WIRE K 1.6X200MM","code_information":[{"code":"70550095","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":58.59,"maximum":171,"gross_charge":180,"discounted_cash":122.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":58.59,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGUIDE BP-LE FIBER","code_information":[{"code":"70550810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2397.6,"maximum":4218,"gross_charge":4440,"discounted_cash":3024.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3552,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2397.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3774,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3996,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3019.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2841.6,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGUIDE BP-LE FIBER","code_information":[{"code":"70550810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1445.22,"maximum":4218,"gross_charge":4440,"discounted_cash":3024.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3552,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2486.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3774,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3996,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1776,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4218,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1687.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1445.22,"methodology":"fee schedule"}]}]},{"description":"SUT FBRWIRE 2 50IN BLU","code_information":[{"code":"70550811","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":121.5,"maximum":213.75,"gross_charge":225,"discounted_cash":153.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":191.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":202.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"}]}]},{"description":"SUT FBRWIRE 2 50IN BLU","code_information":[{"code":"70550811","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":73.24,"maximum":213.75,"gross_charge":225,"discounted_cash":153.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":191.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":202.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.24,"methodology":"fee schedule"}]}]},{"description":"QUADLINK 60-75X9.0-11.0MM","code_information":[{"code":"70550812","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6519.96,"maximum":11470.3,"gross_charge":12074,"discounted_cash":8225.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":9659.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":6519.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":10262.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":10866.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8210.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7727.36,"methodology":"fee schedule"}]}]},{"description":"QUADLINK 60-75X9.0-11.0MM","code_information":[{"code":"70550812","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3930.09,"maximum":11470.3,"gross_charge":12074,"discounted_cash":8225.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":9659.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":6761.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":10262.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":10866.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4829.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":11470.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4588.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3930.09,"methodology":"fee schedule"}]}]},{"description":"WIRE K SMOOTH 1.4X100MM","code_information":[{"code":"70550817","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":114.48,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.68,"methodology":"fee schedule"}]}]},{"description":"WIRE K SMOOTH 1.4X100MM","code_information":[{"code":"70550817","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":69.01,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.01,"methodology":"fee schedule"}]}]},{"description":"K-WIRE 1.25X150MM","code_information":[{"code":"70550818","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":54,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"}]}]},{"description":"K-WIRE 1.25X150MM","code_information":[{"code":"70550818","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":32.55,"maximum":95,"gross_charge":100,"discounted_cash":68.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.55,"methodology":"fee schedule"}]}]},{"description":"TRACH FLEX CUFF 6.5-10MM","code_information":[{"code":"70550822","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":141.48,"maximum":248.9,"gross_charge":262,"discounted_cash":178.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":209.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":222.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":235.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.68,"methodology":"fee schedule"}]}]},{"description":"TRACH FLEX CUFF 6.5-10MM","code_information":[{"code":"70550822","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":85.29,"maximum":248.9,"gross_charge":262,"discounted_cash":178.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":209.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":222.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":235.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.29,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/O CONTRAST","code_information":[{"code":"70551","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":2442.96,"maximum":4297.8,"gross_charge":4524,"discounted_cash":3081.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3619.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2442.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3845.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4071.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3076.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2895.36,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/O CONTRAST","code_information":[{"code":"70551","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":160.02,"maximum":4297.8,"gross_charge":4524,"discounted_cash":3081.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1324.11,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2533.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3845.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4071.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1472.57,"methodology":"fee schedule"}]}]},{"description":"KWIRE 1.6X6MM","code_information":[{"code":"70551021","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":67.5,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"}]}]},{"description":"KWIRE 1.6X6MM","code_information":[{"code":"70551021","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":40.69,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.69,"methodology":"fee schedule"}]}]},{"description":"PADZ ELECTRD FNC(8900080201)","code_information":[{"code":"70551030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.22,"maximum":135.85,"gross_charge":143,"discounted_cash":97.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":114.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":121.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":128.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":97.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.52,"methodology":"fee schedule"}]}]},{"description":"PADZ ELECTRD FNC(8900080201)","code_information":[{"code":"70551030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.55,"maximum":135.85,"gross_charge":143,"discounted_cash":97.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":114.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":121.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":128.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"}]}]},{"description":"WASHER CUP TIM","code_information":[{"code":"70551036","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":137.7,"maximum":242.25,"gross_charge":255,"discounted_cash":173.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":216.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"}]}]},{"description":"WASHER CUP TIM","code_information":[{"code":"70551036","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":83.01,"maximum":242.25,"gross_charge":255,"discounted_cash":173.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":216.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":83.01,"methodology":"fee schedule"}]}]},{"description":"WASHER FLAT TIM","code_information":[{"code":"70551047","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":218.16,"maximum":383.8,"gross_charge":404,"discounted_cash":275.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":323.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":218.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":343.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":363.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.56,"methodology":"fee schedule"}]}]},{"description":"WASHER FLAT TIM","code_information":[{"code":"70551047","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":131.51,"maximum":383.8,"gross_charge":404,"discounted_cash":275.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":323.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":343.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":363.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":131.51,"methodology":"fee schedule"}]}]},{"description":"KWIRE TRCR TIP NS 1.6MM","code_information":[{"code":"70551067","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":48.6,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"}]}]},{"description":"KWIRE TRCR TIP NS 1.6MM","code_information":[{"code":"70551067","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":29.3,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.3,"methodology":"fee schedule"}]}]},{"description":"WIRE OLIVE","code_information":[{"code":"70551085","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":85.32,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":107.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.12,"methodology":"fee schedule"}]}]},{"description":"WIRE OLIVE","code_information":[{"code":"70551085","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":51.43,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.43,"methodology":"fee schedule"}]}]},{"description":"STAPLER ABSORBATACK 5MM 15 TCK","code_information":[{"code":"70551106","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":757.62,"maximum":1332.85,"gross_charge":1403,"discounted_cash":955.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":757.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1192.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1262.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":954.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.92,"methodology":"fee schedule"}]}]},{"description":"STAPLER ABSORBATACK 5MM 15 TCK","code_information":[{"code":"70551106","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":456.68,"maximum":1332.85,"gross_charge":1403,"discounted_cash":955.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":785.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1192.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1262.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":561.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":533.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":456.68,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN FUSION 4X60CM","code_information":[{"code":"70551107","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":194.94,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":245.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.04,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN FUSION 4X60CM","code_information":[{"code":"70551107","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":117.51,"maximum":342.95,"gross_charge":361,"discounted_cash":245.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":202.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":306.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":342.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":117.51,"methodology":"fee schedule"}]}]},{"description":"ADH PREMIERPRO FUSION 30CM","code_information":[{"code":"70551108","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":146.88,"maximum":258.4,"gross_charge":272,"discounted_cash":185.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":184.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.08,"methodology":"fee schedule"}]}]},{"description":"ADH PREMIERPRO FUSION 30CM","code_information":[{"code":"70551108","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":88.54,"maximum":258.4,"gross_charge":272,"discounted_cash":185.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":88.54,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN FUSION 4X22CM","code_information":[{"code":"70551109","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":140.94,"maximum":247.95,"gross_charge":261,"discounted_cash":177.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":208.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":234.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":177.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN FUSION 4X22CM","code_information":[{"code":"70551109","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":84.96,"maximum":247.95,"gross_charge":261,"discounted_cash":177.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":208.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":234.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":84.96,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN PRECISION PEN 1ML","code_information":[{"code":"70551110","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":32.94,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN PRECISION PEN 1ML","code_information":[{"code":"70551110","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":19.86,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"}]}]},{"description":"TRAY-BONE MARROW ASPIR/BX","code_information":[{"code":"70551115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":635.04,"maximum":1117.2,"gross_charge":1176,"discounted_cash":801.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":940.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":635.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":999.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1058.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":799.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":752.64,"methodology":"fee schedule"}]}]},{"description":"TRAY-BONE MARROW ASPIR/BX","code_information":[{"code":"70551115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":382.79,"maximum":1117.2,"gross_charge":1176,"discounted_cash":801.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":940.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":658.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":999.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1058.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":470.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":446.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":382.79,"methodology":"fee schedule"}]}]},{"description":"EXTRCTR STONE DORMIA NO-TIP","code_information":[{"code":"70551118","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":403.92,"maximum":710.6,"gross_charge":748,"discounted_cash":509.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":403.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":635.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":673.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":508.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":478.72,"methodology":"fee schedule"}]}]},{"description":"EXTRCTR STONE DORMIA NO-TIP","code_information":[{"code":"70551118","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":243.48,"maximum":710.6,"gross_charge":748,"discounted_cash":509.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":418.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":635.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":673.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":284.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":243.48,"methodology":"fee schedule"}]}]},{"description":"STAPLE TRI ART VAS RELOAD 60MM","code_information":[{"code":"70551121","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":388.8,"maximum":684,"gross_charge":720,"discounted_cash":490.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"}]}]},{"description":"STAPLE TRI ART VAS RELOAD 60MM","code_information":[{"code":"70551121","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":234.36,"maximum":684,"gross_charge":720,"discounted_cash":490.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":234.36,"methodology":"fee schedule"}]}]},{"description":"HEMOSPRY 7FR","code_information":[{"code":"70551132","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":3422.25,"maximum":6020.63,"gross_charge":6337.5,"discounted_cash":4317.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5070,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3422.25,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5386.88,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5703.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4309.5,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4056,"methodology":"fee schedule"}]}]},{"description":"HEMOSPRY 7FR","code_information":[{"code":"70551132","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":2062.86,"maximum":6020.63,"gross_charge":6337.5,"discounted_cash":4317.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5070,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3549,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5386.88,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5703.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2535,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6020.63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2408.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2062.86,"methodology":"fee schedule"}]}]},{"description":"ELECTRD BALL LEEP 5MMX11CM X","code_information":[{"code":"70551145","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":42.12,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"}]}]},{"description":"ELECTRD BALL LEEP 5MMX11CM X","code_information":[{"code":"70551145","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":25.39,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"}]}]},{"description":"PAIN PUMP DUAL LUMEN (PM025A)","code_information":[{"code":"70551151","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":386.64,"maximum":680.2,"gross_charge":716,"discounted_cash":487.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":572.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":386.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":608.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":644.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":486.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":458.24,"methodology":"fee schedule"}]}]},{"description":"PAIN PUMP DUAL LUMEN (PM025A)","code_information":[{"code":"70551151","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":233.06,"maximum":680.2,"gross_charge":716,"discounted_cash":487.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":572.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":608.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":644.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":233.06,"methodology":"fee schedule"}]}]},{"description":"KWIRE 2.5X 280MM","code_information":[{"code":"70551157","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":61.02,"maximum":107.35,"gross_charge":113,"discounted_cash":76.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":101.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.32,"methodology":"fee schedule"}]}]},{"description":"KWIRE 2.5X 280MM","code_information":[{"code":"70551157","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":36.79,"maximum":107.35,"gross_charge":113,"discounted_cash":76.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":101.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.79,"methodology":"fee schedule"}]}]},{"description":"SHTH URT ACCESS 10/12/14FR 45C","code_information":[{"code":"70551163","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":273.78,"maximum":481.65,"gross_charge":507,"discounted_cash":345.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":405.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":273.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":456.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":344.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.48,"methodology":"fee schedule"}]}]},{"description":"SHTH URT ACCESS 10/12/14FR 45C","code_information":[{"code":"70551163","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":165.03,"maximum":481.65,"gross_charge":507,"discounted_cash":345.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":405.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":456.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":165.03,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 24/20 X 4.4/1","code_information":[{"code":"70551180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":255.42,"maximum":449.35,"gross_charge":473,"discounted_cash":322.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":321.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":302.72,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 24/20 X 4.4/1","code_information":[{"code":"70551180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":153.97,"maximum":449.35,"gross_charge":473,"discounted_cash":322.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":153.97,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 18FRX3.4CM YEL","code_information":[{"code":"70551181","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":255.42,"maximum":449.35,"gross_charge":473,"discounted_cash":322.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":321.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":302.72,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 18FRX3.4CM YEL","code_information":[{"code":"70551181","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":153.97,"maximum":449.35,"gross_charge":473,"discounted_cash":322.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":449.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":153.97,"methodology":"fee schedule"}]}]},{"description":"MATRIX FLOSEAL HEMO 5ML RECTHO","code_information":[{"code":"70551184","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":285.66,"maximum":502.55,"gross_charge":529,"discounted_cash":360.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":423.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":285.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":449.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":476.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":359.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.56,"methodology":"fee schedule"}]}]},{"description":"MATRIX FLOSEAL HEMO 5ML RECTHO","code_information":[{"code":"70551184","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":172.19,"maximum":502.55,"gross_charge":529,"discounted_cash":360.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":423.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":449.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":476.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":502.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":201.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":172.19,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM 4.5FR 30IN","code_information":[{"code":"70551225","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":121.5,"maximum":213.75,"gross_charge":225,"discounted_cash":153.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":191.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":202.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM 4.5FR 30IN","code_information":[{"code":"70551225","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.24,"maximum":213.75,"gross_charge":225,"discounted_cash":153.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":191.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":202.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.24,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDRL TUOHY 18G X 8IN","code_information":[{"code":"70551228","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":58.32,"maximum":102.6,"gross_charge":108,"discounted_cash":73.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDRL TUOHY 18G X 8IN","code_information":[{"code":"70551228","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.16,"maximum":102.6,"gross_charge":108,"discounted_cash":73.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":35.16,"methodology":"fee schedule"}]}]},{"description":"JADA 2 SYSTEM","code_information":[{"code":"70551235","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":2097.36,"maximum":3689.8,"gross_charge":3884,"discounted_cash":2645.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2097.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3301.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3495.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2485.76,"methodology":"fee schedule"}]}]},{"description":"JADA 2 SYSTEM","code_information":[{"code":"70551235","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1264.25,"maximum":3689.8,"gross_charge":3884,"discounted_cash":2645.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2175.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3301.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3495.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1553.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1475.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1264.25,"methodology":"fee schedule"}]}]},{"description":"LSR FBR CO2 FIBERLASE","code_information":[{"code":"70551245","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1579.5,"maximum":2778.75,"gross_charge":2925,"discounted_cash":1992.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2340,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1579.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2486.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1989,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1872,"methodology":"fee schedule"}]}]},{"description":"LSR FBR CO2 FIBERLASE","code_information":[{"code":"70551245","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":952.09,"maximum":2778.75,"gross_charge":2925,"discounted_cash":1992.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2340,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1638,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2486.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1170,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2778.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1111.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":952.09,"methodology":"fee schedule"}]}]},{"description":"TB EAR ULTRSIL CLLR BTTN 1.27","code_information":[{"code":"70551247","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":28.62,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.92,"methodology":"fee schedule"}]}]},{"description":"TB EAR ULTRSIL CLLR BTTN 1.27","code_information":[{"code":"70551247","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":17.26,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-FIRE 35 W","code_information":[{"code":"70551249","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":27,"maximum":47.5,"gross_charge":50,"discounted_cash":34.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":42.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-FIRE 35 W","code_information":[{"code":"70551249","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":16.28,"maximum":47.5,"gross_charge":50,"discounted_cash":34.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":42.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":16.28,"methodology":"fee schedule"}]}]},{"description":"PROTCTR HEEL STND","code_information":[{"code":"70551250","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":295.38,"maximum":519.65,"gross_charge":547,"discounted_cash":372.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":437.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":295.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":464.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":492.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":371.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":350.08,"methodology":"fee schedule"}]}]},{"description":"PROTCTR HEEL STND","code_information":[{"code":"70551250","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":178.05,"maximum":519.65,"gross_charge":547,"discounted_cash":372.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":437.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":306.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":464.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":492.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":178.05,"methodology":"fee schedule"}]}]},{"description":"FBR UHS SU 550UM","code_information":[{"code":"70551256","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":307.8,"maximum":541.5,"gross_charge":570,"discounted_cash":388.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":387.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"}]}]},{"description":"FBR UHS SU 550UM","code_information":[{"code":"70551256","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":185.54,"maximum":541.5,"gross_charge":570,"discounted_cash":388.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":185.54,"methodology":"fee schedule"}]}]},{"description":"BAR 11MMX250MM","code_information":[{"code":"70551258","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":272.16,"maximum":478.8,"gross_charge":504,"discounted_cash":343.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":453.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"}]}]},{"description":"BAR 11MMX250MM","code_information":[{"code":"70551258","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":164.06,"maximum":478.8,"gross_charge":504,"discounted_cash":343.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":453.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":478.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":164.06,"methodology":"fee schedule"}]}]},{"description":"CLAMP BAR TO PIN 3D","code_information":[{"code":"70551259","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":589.68,"maximum":1037.4,"gross_charge":1092,"discounted_cash":743.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":589.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":982.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":742.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":698.88,"methodology":"fee schedule"}]}]},{"description":"CLAMP BAR TO PIN 3D","code_information":[{"code":"70551259","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":355.45,"maximum":1037.4,"gross_charge":1092,"discounted_cash":743.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":982.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":436.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":355.45,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN XTRAFIX 45MM 1 BAR","code_information":[{"code":"70551261","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1163.7,"maximum":2047.25,"gross_charge":2155,"discounted_cash":1468.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1724,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1831.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1939.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1379.2,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN XTRAFIX 45MM 1 BAR","code_information":[{"code":"70551261","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":701.46,"maximum":2047.25,"gross_charge":2155,"discounted_cash":1468.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1724,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1206.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1831.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1939.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":862,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":818.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":701.46,"methodology":"fee schedule"}]}]},{"description":"BAR 11MMX350MM","code_information":[{"code":"70551262","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":291.6,"maximum":513,"gross_charge":540,"discounted_cash":367.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":291.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":459,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":486,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"}]}]},{"description":"BAR 11MMX350MM","code_information":[{"code":"70551262","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":175.77,"maximum":513,"gross_charge":540,"discounted_cash":367.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":302.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":459,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":486,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":175.77,"methodology":"fee schedule"}]}]},{"description":"OPTIFOAM GNTLE LITE N-BORDRD 4","code_information":[{"code":"70551271","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":457.38,"maximum":804.65,"gross_charge":847,"discounted_cash":577.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":457.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":762.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":575.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":542.08,"methodology":"fee schedule"}]}]},{"description":"OPTIFOAM GNTLE LITE N-BORDRD 4","code_information":[{"code":"70551271","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":275.7,"maximum":804.65,"gross_charge":847,"discounted_cash":577.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":474.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":762.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":338.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":275.7,"methodology":"fee schedule"}]}]},{"description":"DRSNG 4X12 OPTIFOAM POST OP","code_information":[{"code":"70551276","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":65.88,"maximum":115.9,"gross_charge":122,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":97.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":103.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":109.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.08,"methodology":"fee schedule"}]}]},{"description":"DRSNG 4X12 OPTIFOAM POST OP","code_information":[{"code":"70551276","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":39.72,"maximum":115.9,"gross_charge":122,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":97.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":103.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":109.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.72,"methodology":"fee schedule"}]}]},{"description":"DRSNG 4X6 OPTIFOAM POST OP","code_information":[{"code":"70551277","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":45.9,"maximum":80.75,"gross_charge":85,"discounted_cash":57.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"}]}]},{"description":"DRSNG 4X6 OPTIFOAM POST OP","code_information":[{"code":"70551277","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":27.67,"maximum":80.75,"gross_charge":85,"discounted_cash":57.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.67,"methodology":"fee schedule"}]}]},{"description":"OPTIFOAM GNTLE AG N-BORDERED 8","code_information":[{"code":"70551278","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":55.08,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"}]}]},{"description":"OPTIFOAM GNTLE AG N-BORDERED 8","code_information":[{"code":"70551278","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":33.21,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.21,"methodology":"fee schedule"}]}]},{"description":"CHARGING SYSTEM","code_information":[{"code":"70551306","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1584.9,"maximum":2788.25,"gross_charge":2935,"discounted_cash":1999.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2348,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1584.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2494.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1995.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1878.4,"methodology":"fee schedule"}]}]},{"description":"CHARGING SYSTEM","code_information":[{"code":"70551306","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":955.35,"maximum":2788.25,"gross_charge":2935,"discounted_cash":1999.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2348,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2494.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1174,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2788.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":955.35,"methodology":"fee schedule"}]}]},{"description":"EXT PERCUTANEOUS","code_information":[{"code":"70551307","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":945,"maximum":1662.5,"gross_charge":1750,"discounted_cash":1192.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":945,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1487.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1190,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1120,"methodology":"fee schedule"}]}]},{"description":"EXT PERCUTANEOUS","code_information":[{"code":"70551307","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":569.63,"maximum":1662.5,"gross_charge":1750,"discounted_cash":1192.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":980,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1487.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":700,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":665,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":569.63,"methodology":"fee schedule"}]}]},{"description":"NDL INJECTOR 27G 4MM","code_information":[{"code":"70551309","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":138.78,"maximum":244.15,"gross_charge":257,"discounted_cash":175.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":205.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":138.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":218.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":231.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.48,"methodology":"fee schedule"}]}]},{"description":"NDL INJECTOR 27G 4MM","code_information":[{"code":"70551309","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":83.66,"maximum":244.15,"gross_charge":257,"discounted_cash":175.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":205.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":218.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":231.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":83.66,"methodology":"fee schedule"}]}]},{"description":"BAR 11MM X 300MM","code_information":[{"code":"70551313","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":278.64,"maximum":490.2,"gross_charge":516,"discounted_cash":351.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":278.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":438.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":464.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":350.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":330.24,"methodology":"fee schedule"}]}]},{"description":"BAR 11MM X 300MM","code_information":[{"code":"70551313","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":167.96,"maximum":490.2,"gross_charge":516,"discounted_cash":351.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":438.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":464.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":167.96,"methodology":"fee schedule"}]}]},{"description":"FIBER LSR LU CO2 FBR","code_information":[{"code":"70551319","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":2000.7,"maximum":3519.75,"gross_charge":3705,"discounted_cash":2524.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2964,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2000.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3149.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3334.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2519.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2371.2,"methodology":"fee schedule"}]}]},{"description":"FIBER LSR LU CO2 FBR","code_information":[{"code":"70551319","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1205.98,"maximum":3519.75,"gross_charge":3705,"discounted_cash":2524.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2964,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2074.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3149.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3334.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1482,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3519.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1407.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1205.98,"methodology":"fee schedule"}]}]},{"description":"POST EXT FIX 30DG ANGL 11MM","code_information":[{"code":"70551320","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":172.26,"maximum":303.05,"gross_charge":319,"discounted_cash":217.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":172.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":271.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":287.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":216.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.16,"methodology":"fee schedule"}]}]},{"description":"POST EXT FIX 30DG ANGL 11MM","code_information":[{"code":"70551320","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":103.84,"maximum":303.05,"gross_charge":319,"discounted_cash":217.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":178.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":271.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":287.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":127.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":103.84,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN XTRAFIX 45MM","code_information":[{"code":"70551321","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":561.6,"maximum":988,"gross_charge":1040,"discounted_cash":708.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":832,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":561.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":884,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":665.6,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN XTRAFIX 45MM","code_information":[{"code":"70551321","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":338.52,"maximum":988,"gross_charge":1040,"discounted_cash":708.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":832,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":582.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":884,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":936,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":416,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":988,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":338.52,"methodology":"fee schedule"}]}]},{"description":"DISSECTOR LIGASURE NANO CT","code_information":[{"code":"70551324","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":937.44,"maximum":1649.2,"gross_charge":1736,"discounted_cash":1182.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":937.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1475.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1111.04,"methodology":"fee schedule"}]}]},{"description":"DISSECTOR LIGASURE NANO CT","code_information":[{"code":"70551324","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":565.07,"maximum":1649.2,"gross_charge":1736,"discounted_cash":1182.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":972.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1475.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":694.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":565.07,"methodology":"fee schedule"}]}]},{"description":"CATH SGL SENSOR BLADDER 7FR","code_information":[{"code":"70551325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.6,"maximum":275.5,"gross_charge":290,"discounted_cash":197.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":246.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":197.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.6,"methodology":"fee schedule"}]}]},{"description":"CATH SGL SENSOR BLADDER 7FR","code_information":[{"code":"70551325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.4,"maximum":275.5,"gross_charge":290,"discounted_cash":197.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":246.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"}]}]},{"description":"CATH ABD 7FR T-DOC","code_information":[{"code":"70551326","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":141.48,"maximum":248.9,"gross_charge":262,"discounted_cash":178.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":209.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":222.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":235.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.68,"methodology":"fee schedule"}]}]},{"description":"CATH ABD 7FR T-DOC","code_information":[{"code":"70551326","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.29,"maximum":248.9,"gross_charge":262,"discounted_cash":178.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":209.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":222.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":235.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":248.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.29,"methodology":"fee schedule"}]}]},{"description":"HEMOSTAT SURGICEL ABSRB STER","code_information":[{"code":"70551339","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":173.88,"maximum":305.9,"gross_charge":322,"discounted_cash":219.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":273.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.08,"methodology":"fee schedule"}]}]},{"description":"HEMOSTAT SURGICEL ABSRB STER","code_information":[{"code":"70551339","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":104.82,"maximum":305.9,"gross_charge":322,"discounted_cash":219.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":180.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":273.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":104.82,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX SPIRL CTX1 36X36","code_information":[{"code":"70551356","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":65.34,"maximum":114.95,"gross_charge":121,"discounted_cash":82.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.44,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX SPIRL CTX1 36X36","code_information":[{"code":"70551356","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.39,"maximum":114.95,"gross_charge":121,"discounted_cash":82.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.39,"methodology":"fee schedule"}]}]},{"description":"PASSER SUT 14G 10-12MM GUIDE","code_information":[{"code":"70551360","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":35.64,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"}]}]},{"description":"PASSER SUT 14G 10-12MM GUIDE","code_information":[{"code":"70551360","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":21.49,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.49,"methodology":"fee schedule"}]}]},{"description":"DISSECTOR SONICISION 7 39MM","code_information":[{"code":"70551361","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":884.52,"maximum":1556.1,"gross_charge":1638,"discounted_cash":1115.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":884.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1392.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1474.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1048.32,"methodology":"fee schedule"}]}]},{"description":"DISSECTOR SONICISION 7 39MM","code_information":[{"code":"70551361","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":533.17,"maximum":1556.1,"gross_charge":1638,"discounted_cash":1115.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":917.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1392.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1474.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":655.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":622.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":533.17,"methodology":"fee schedule"}]}]},{"description":"SUT TIGERTAPE WHT/BLK","code_information":[{"code":"70551384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":942.84,"maximum":1658.7,"gross_charge":1746,"discounted_cash":1189.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":942.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1117.44,"methodology":"fee schedule"}]}]},{"description":"SUT TIGERTAPE WHT/BLK","code_information":[{"code":"70551384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":568.33,"maximum":1658.7,"gross_charge":1746,"discounted_cash":1189.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":977.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":698.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":663.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":568.33,"methodology":"fee schedule"}]}]},{"description":"SUT TAPE W/LOOP 1.3MM WHT BLU","code_information":[{"code":"70551386","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":168.48,"maximum":296.4,"gross_charge":312,"discounted_cash":212.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"}]}]},{"description":"SUT TAPE W/LOOP 1.3MM WHT BLU","code_information":[{"code":"70551386","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":101.56,"maximum":296.4,"gross_charge":312,"discounted_cash":212.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":101.56,"methodology":"fee schedule"}]}]},{"description":"PIN HALF 2.5X80MM","code_information":[{"code":"70551388","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":213.3,"maximum":375.25,"gross_charge":395,"discounted_cash":269.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":316,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":335.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":355.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"}]}]},{"description":"PIN HALF 2.5X80MM","code_information":[{"code":"70551388","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":128.58,"maximum":375.25,"gross_charge":395,"discounted_cash":269.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":316,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":335.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":355.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":128.58,"methodology":"fee schedule"}]}]},{"description":"SUT XBRAID SZ 2","code_information":[{"code":"70551394","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":115.56,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.96,"methodology":"fee schedule"}]}]},{"description":"SUT XBRAID SZ 2","code_information":[{"code":"70551394","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":69.66,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"}]}]},{"description":"TAPE PD ORTHOGLASS 1INX15FT","code_information":[{"code":"70551403","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":69.12,"maximum":121.6,"gross_charge":128,"discounted_cash":87.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.92,"methodology":"fee schedule"}]}]},{"description":"TAPE PD ORTHOGLASS 1INX15FT","code_information":[{"code":"70551403","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":41.67,"maximum":121.6,"gross_charge":128,"discounted_cash":87.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":41.67,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN 75MM","code_information":[{"code":"70551416","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1300.32,"maximum":2287.6,"gross_charge":2408,"discounted_cash":1640.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1926.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1637.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1541.12,"methodology":"fee schedule"}]}]},{"description":"CLAMP PIN 75MM","code_information":[{"code":"70551416","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":783.81,"maximum":2287.6,"gross_charge":2408,"discounted_cash":1640.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1926.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1348.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":963.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":915.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":783.81,"methodology":"fee schedule"}]}]},{"description":"CATH AIRWAY EXCHG 11FR","code_information":[{"code":"70551429","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":180.9,"maximum":318.25,"gross_charge":335,"discounted_cash":228.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":268,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":180.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":284.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":301.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":227.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":214.4,"methodology":"fee schedule"}]}]},{"description":"CATH AIRWAY EXCHG 11FR","code_information":[{"code":"70551429","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":109.05,"maximum":318.25,"gross_charge":335,"discounted_cash":228.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":268,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":284.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":301.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":134,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":109.05,"methodology":"fee schedule"}]}]},{"description":"NDL PARACENT CALDWELL 15GX4.75","code_information":[{"code":"70551431","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":44.28,"maximum":77.9,"gross_charge":82,"discounted_cash":55.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"}]}]},{"description":"NDL PARACENT CALDWELL 15GX4.75","code_information":[{"code":"70551431","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":26.7,"maximum":77.9,"gross_charge":82,"discounted_cash":55.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":26.7,"methodology":"fee schedule"}]}]},{"description":"POUCH PEELABLE QUICKCLOT 4X4","code_information":[{"code":"70551435","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.6,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"}]}]},{"description":"POUCH PEELABLE QUICKCLOT 4X4","code_information":[{"code":"70551435","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.3,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.3,"methodology":"fee schedule"}]}]},{"description":"SPIKE SET FLUID WRM BG UNIV-3","code_information":[{"code":"70551436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":401.76,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":505.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.16,"methodology":"fee schedule"}]}]},{"description":"SPIKE SET FLUID WRM BG UNIV-3","code_information":[{"code":"70551436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":242.18,"maximum":706.8,"gross_charge":744,"discounted_cash":506.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":669.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":297.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.18,"methodology":"fee schedule"}]}]},{"description":"KT METER STARTER SURESTEP MEC","code_information":[{"code":"70551437","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"}]}]},{"description":"KT METER STARTER SURESTEP MEC","code_information":[{"code":"70551437","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":24.42,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.42,"methodology":"fee schedule"}]}]},{"description":"LENS THER IRR MORGAN MEDI-FLO","code_information":[{"code":"70551441","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.56,"maximum":155.8,"gross_charge":164,"discounted_cash":111.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":131.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"}]}]},{"description":"LENS THER IRR MORGAN MEDI-FLO","code_information":[{"code":"70551441","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.39,"maximum":155.8,"gross_charge":164,"discounted_cash":111.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":131.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.39,"methodology":"fee schedule"}]}]},{"description":"TIP STRYKEFLO II","code_information":[{"code":"70551442","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":130.14,"maximum":228.95,"gross_charge":241,"discounted_cash":164.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":192.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":204.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":216.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":163.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.24,"methodology":"fee schedule"}]}]},{"description":"TIP STRYKEFLO II","code_information":[{"code":"70551442","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":78.45,"maximum":228.95,"gross_charge":241,"discounted_cash":164.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":192.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":204.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":216.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":228.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":78.45,"methodology":"fee schedule"}]}]},{"description":"RAPID RHINO ANTERIOR 5.5CM X","code_information":[{"code":"70551446","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":120.96,"maximum":212.8,"gross_charge":224,"discounted_cash":152.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.36,"methodology":"fee schedule"}]}]},{"description":"RAPID RHINO ANTERIOR 5.5CM X","code_information":[{"code":"70551446","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":72.92,"maximum":212.8,"gross_charge":224,"discounted_cash":152.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":72.92,"methodology":"fee schedule"}]}]},{"description":"TAPE PD ORTHOGLASS 4INX15 FT","code_information":[{"code":"70551447","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":147.96,"maximum":260.3,"gross_charge":274,"discounted_cash":186.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":219.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":246.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.36,"methodology":"fee schedule"}]}]},{"description":"TAPE PD ORTHOGLASS 4INX15 FT","code_information":[{"code":"70551447","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":89.19,"maximum":260.3,"gross_charge":274,"discounted_cash":186.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":219.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":153.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":246.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":109.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":89.19,"methodology":"fee schedule"}]}]},{"description":"GLIDESCOPE BFLEX 5.0 REG","code_information":[{"code":"70551453","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":560.52,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":705.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"}]}]},{"description":"GLIDESCOPE BFLEX 5.0 REG","code_information":[{"code":"70551453","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":337.87,"maximum":986.1,"gross_charge":1038,"discounted_cash":707.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":830.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":581.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":882.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":934.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":986.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":337.87,"methodology":"fee schedule"}]}]},{"description":"SUT SFX SPI 9IN 3-0 S/A RB1 MP","code_information":[{"code":"70551455","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.1,"maximum":109.25,"gross_charge":115,"discounted_cash":78.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":97.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.6,"methodology":"fee schedule"}]}]},{"description":"SUT SFX SPI 9IN 3-0 S/A RB1 MP","code_information":[{"code":"70551455","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.44,"maximum":109.25,"gross_charge":115,"discounted_cash":78.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":97.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.44,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX PDS+ 4-0 5X5","code_information":[{"code":"70551457","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.26,"maximum":113.05,"gross_charge":119,"discounted_cash":81.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":101.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX PDS+ 4-0 5X5","code_information":[{"code":"70551457","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.74,"maximum":113.05,"gross_charge":119,"discounted_cash":81.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":101.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.74,"methodology":"fee schedule"}]}]},{"description":"TENSIONER CERCLAGE DISP","code_information":[{"code":"70551464","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":623.7,"maximum":1097.25,"gross_charge":1155,"discounted_cash":786.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":623.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":981.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":785.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":739.2,"methodology":"fee schedule"}]}]},{"description":"TENSIONER CERCLAGE DISP","code_information":[{"code":"70551464","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":375.96,"maximum":1097.25,"gross_charge":1155,"discounted_cash":786.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":924,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":646.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":981.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":462,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1097.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":375.96,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX MONO 4-0 30CM","code_information":[{"code":"70551473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":60.48,"maximum":106.4,"gross_charge":112,"discounted_cash":76.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.68,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX MONO 4-0 30CM","code_information":[{"code":"70551473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.46,"maximum":106.4,"gross_charge":112,"discounted_cash":76.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.46,"methodology":"fee schedule"}]}]},{"description":"SURGICEL 2X14 DRSG","code_information":[{"code":"70551510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":144.72,"maximum":254.6,"gross_charge":268,"discounted_cash":182.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":214.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":144.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":227.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":241.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":182.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.52,"methodology":"fee schedule"}]}]},{"description":"SURGICEL 2X14 DRSG","code_information":[{"code":"70551510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":87.24,"maximum":254.6,"gross_charge":268,"discounted_cash":182.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":214.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":227.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":241.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":107.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":87.24,"methodology":"fee schedule"}]}]},{"description":"DRSG SPNG CLLGN AVITN(1050020)","code_information":[{"code":"70551511","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.04,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"}]}]},{"description":"DRSG SPNG CLLGN AVITN(1050020)","code_information":[{"code":"70551511","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.74,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.74,"methodology":"fee schedule"}]}]},{"description":"FIBER OPTIC CO2 ACUPULSE DUO","code_information":[{"code":"70551518","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1000.62,"maximum":1760.35,"gross_charge":1853,"discounted_cash":1262.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1482.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1575.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1667.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1260.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1185.92,"methodology":"fee schedule"}]}]},{"description":"FIBER OPTIC CO2 ACUPULSE DUO","code_information":[{"code":"70551518","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":603.16,"maximum":1760.35,"gross_charge":1853,"discounted_cash":1262.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1482.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1575.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1667.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":704.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":603.16,"methodology":"fee schedule"}]}]},{"description":"SURGICEL 4X8 DRSG","code_information":[{"code":"70551520","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":157.14,"maximum":276.45,"gross_charge":291,"discounted_cash":198.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":197.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"}]}]},{"description":"SURGICEL 4X8 DRSG","code_information":[{"code":"70551520","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.73,"maximum":276.45,"gross_charge":291,"discounted_cash":198.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":94.73,"methodology":"fee schedule"}]}]},{"description":"SUT STRATFIX V-34 36MM 30CM VI","code_information":[{"code":"70551527","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":595.08,"maximum":1046.9,"gross_charge":1102,"discounted_cash":750.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":881.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":595.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":936.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":991.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":749.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":705.28,"methodology":"fee schedule"}]}]},{"description":"SUT STRATFIX V-34 36MM 30CM VI","code_information":[{"code":"70551527","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":358.71,"maximum":1046.9,"gross_charge":1102,"discounted_cash":750.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":881.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":617.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":936.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":991.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":418.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":358.71,"methodology":"fee schedule"}]}]},{"description":"POSTN STRAPS HEAD/CHIN DISP LF","code_information":[{"code":"70551534","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":69.66,"maximum":122.55,"gross_charge":129,"discounted_cash":87.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":109.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"}]}]},{"description":"POSTN STRAPS HEAD/CHIN DISP LF","code_information":[{"code":"70551534","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":41.99,"maximum":122.55,"gross_charge":129,"discounted_cash":87.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":109.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":41.99,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 2","code_information":[{"code":"70551552","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.5,"maximum":23.75,"gross_charge":25,"discounted_cash":17.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":22.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 2","code_information":[{"code":"70551552","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.14,"maximum":23.75,"gross_charge":25,"discounted_cash":17.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":22.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":8.14,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 1","code_information":[{"code":"70551553","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":11.34,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 1","code_information":[{"code":"70551553","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.84,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 3","code_information":[{"code":"70551554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.3,"maximum":42.75,"gross_charge":45,"discounted_cash":30.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":38.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"}]}]},{"description":"SUTURE LEVEL 3","code_information":[{"code":"70551554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.65,"maximum":42.75,"gross_charge":45,"discounted_cash":30.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":38.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN DRL TIP 2.4MM SS","code_information":[{"code":"70551556","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":79.92,"maximum":140.6,"gross_charge":148,"discounted_cash":100.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":118.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":125.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":133.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.72,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN DRL TIP 2.4MM SS","code_information":[{"code":"70551556","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":140.6,"gross_charge":148,"discounted_cash":100.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":118.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":125.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":133.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"}]}]},{"description":"FIBERTAPE CERC 2MM 36IN","code_information":[{"code":"70551557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":228.96,"maximum":402.8,"gross_charge":424,"discounted_cash":288.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":339.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":228.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":381.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":288.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.36,"methodology":"fee schedule"}]}]},{"description":"FIBERTAPE CERC 2MM 36IN","code_information":[{"code":"70551557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":138.02,"maximum":402.8,"gross_charge":424,"discounted_cash":288.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":339.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":381.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":138.02,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX 0 PDS 15CM UR-6","code_information":[{"code":"70551577","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":65.88,"maximum":115.9,"gross_charge":122,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":97.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":103.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":109.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.08,"methodology":"fee schedule"}]}]},{"description":"SUT STRATAFIX 0 PDS 15CM UR-6","code_information":[{"code":"70551577","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.72,"maximum":115.9,"gross_charge":122,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":97.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":103.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":109.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.72,"methodology":"fee schedule"}]}]},{"description":"QUICK PRSS MONITOR SET","code_information":[{"code":"70551597","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":314.82,"maximum":553.85,"gross_charge":583,"discounted_cash":397.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":466.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":314.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":495.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":524.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.12,"methodology":"fee schedule"}]}]},{"description":"QUICK PRSS MONITOR SET","code_information":[{"code":"70551597","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":189.77,"maximum":553.85,"gross_charge":583,"discounted_cash":397.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":466.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":495.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":524.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":553.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":189.77,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN ABSORABLE","code_information":[{"code":"70551606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":125.82,"maximum":221.35,"gross_charge":233,"discounted_cash":158.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":198.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":209.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.12,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN ABSORABLE","code_information":[{"code":"70551606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":75.85,"maximum":221.35,"gross_charge":233,"discounted_cash":158.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":198.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":209.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":75.85,"methodology":"fee schedule"}]}]},{"description":"ELECTRD PLSMA MED","code_information":[{"code":"70551612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":848.88,"maximum":1493.4,"gross_charge":1572,"discounted_cash":1070.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":848.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1006.08,"methodology":"fee schedule"}]}]},{"description":"ELECTRD PLSMA MED","code_information":[{"code":"70551612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":511.69,"maximum":1493.4,"gross_charge":1572,"discounted_cash":1070.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1257.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":880.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":597.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":511.69,"methodology":"fee schedule"}]}]},{"description":"SYS PINPOINT PAQ","code_information":[{"code":"70551619","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":329.4,"maximum":579.5,"gross_charge":610,"discounted_cash":415.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":518.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":549,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":414.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":390.4,"methodology":"fee schedule"}]}]},{"description":"SYS PINPOINT PAQ","code_information":[{"code":"70551619","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":198.56,"maximum":579.5,"gross_charge":610,"discounted_cash":415.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":341.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":518.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":549,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":244,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"}]}]},{"description":"DEVICE STONE EXTR 1.7FR 115CMX","code_information":[{"code":"70551622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":370.44,"maximum":651.7,"gross_charge":686,"discounted_cash":467.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":548.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":466.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.04,"methodology":"fee schedule"}]}]},{"description":"DEVICE STONE EXTR 1.7FR 115CMX","code_information":[{"code":"70551622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":223.3,"maximum":651.7,"gross_charge":686,"discounted_cash":467.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":548.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":617.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":651.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":223.3,"methodology":"fee schedule"}]}]},{"description":"CATH ST SEIDMAN 6FR 50CM","code_information":[{"code":"70551629","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":234.36,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":234.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.76,"methodology":"fee schedule"}]}]},{"description":"CATH ST SEIDMAN 6FR 50CM","code_information":[{"code":"70551629","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":141.27,"maximum":412.3,"gross_charge":434,"discounted_cash":295.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":347.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":141.27,"methodology":"fee schedule"}]}]},{"description":"BSKT URET 4W N-CIR 3FRX115CM","code_information":[{"code":"70551630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":396.36,"maximum":697.3,"gross_charge":734,"discounted_cash":500.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":587.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":396.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":623.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":660.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":499.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":469.76,"methodology":"fee schedule"}]}]},{"description":"BSKT URET 4W N-CIR 3FRX115CM","code_information":[{"code":"70551630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":238.92,"maximum":697.3,"gross_charge":734,"discounted_cash":500.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":587.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":411.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":623.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":660.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":238.92,"methodology":"fee schedule"}]}]},{"description":"BSKT URET 4W N-CIR 3FRX115CM","code_information":[{"code":"70551631","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":341.28,"maximum":600.4,"gross_charge":632,"discounted_cash":430.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":505.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":341.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":537.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":568.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":429.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":404.48,"methodology":"fee schedule"}]}]},{"description":"BSKT URET 4W N-CIR 3FRX115CM","code_information":[{"code":"70551631","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":205.72,"maximum":600.4,"gross_charge":632,"discounted_cash":430.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":505.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":353.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":537.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":568.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":205.72,"methodology":"fee schedule"}]}]},{"description":"CONNTR REPR KT-GROSHNG 1043","code_information":[{"code":"70551635","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":304.02,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":360.32,"methodology":"fee schedule"}]}]},{"description":"CONNTR REPR KT-GROSHNG 1043","code_information":[{"code":"70551635","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":183.26,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":315.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":225.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":183.26,"methodology":"fee schedule"}]}]},{"description":"DEVICE HND ACC GELPORT SYS","code_information":[{"code":"70551641","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":935.28,"maximum":1645.4,"gross_charge":1732,"discounted_cash":1179.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1385.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":935.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1558.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1108.48,"methodology":"fee schedule"}]}]},{"description":"DEVICE HND ACC GELPORT SYS","code_information":[{"code":"70551641","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":563.77,"maximum":1645.4,"gross_charge":1732,"discounted_cash":1179.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1385.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":969.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1558.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":692.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":658.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":563.77,"methodology":"fee schedule"}]}]},{"description":"INSTR OPN CRV LG JAW SEAL 7.1","code_information":[{"code":"70551646","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":945,"maximum":1662.5,"gross_charge":1750,"discounted_cash":1192.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":945,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1487.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1190,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1120,"methodology":"fee schedule"}]}]},{"description":"INSTR OPN CRV LG JAW SEAL 7.1","code_information":[{"code":"70551646","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":569.63,"maximum":1662.5,"gross_charge":1750,"discounted_cash":1192.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":980,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1487.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1575,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":700,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":665,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":569.63,"methodology":"fee schedule"}]}]},{"description":"CANN ARTHSCP SHLDR 6MMX7CM","code_information":[{"code":"70551648","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.72,"maximum":112.1,"gross_charge":118,"discounted_cash":80.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":100.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":106.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.52,"methodology":"fee schedule"}]}]},{"description":"CANN ARTHSCP SHLDR 6MMX7CM","code_information":[{"code":"70551648","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.41,"maximum":112.1,"gross_charge":118,"discounted_cash":80.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":100.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":106.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.41,"methodology":"fee schedule"}]}]},{"description":"BRUSH CYTO X1","code_information":[{"code":"70551649","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":69.35,"gross_charge":73,"discounted_cash":49.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"}]}]},{"description":"BRUSH CYTO X1","code_information":[{"code":"70551649","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":23.77,"maximum":69.35,"gross_charge":73,"discounted_cash":49.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.77,"methodology":"fee schedule"}]}]},{"description":"KIT SPEC COLLCT MANIFOLD","code_information":[{"code":"70551662","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":64.8,"maximum":114,"gross_charge":120,"discounted_cash":81.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"}]}]},{"description":"KIT SPEC COLLCT MANIFOLD","code_information":[{"code":"70551662","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":39.06,"maximum":114,"gross_charge":120,"discounted_cash":81.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.06,"methodology":"fee schedule"}]}]},{"description":"TB ENDOBRONCH CUF SHAW 39FR L","code_information":[{"code":"70551663","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":151.74,"maximum":266.95,"gross_charge":281,"discounted_cash":191.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":224.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":238.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":252.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":191.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.84,"methodology":"fee schedule"}]}]},{"description":"TB ENDOBRONCH CUF SHAW 39FR L","code_information":[{"code":"70551663","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":91.47,"maximum":266.95,"gross_charge":281,"discounted_cash":191.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":224.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":238.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":252.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":91.47,"methodology":"fee schedule"}]}]},{"description":"HND CNTRL SYS VAPR PRM(228504)","code_information":[{"code":"70551959","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":757.62,"maximum":1332.85,"gross_charge":1403,"discounted_cash":955.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":757.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1192.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1262.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":954.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":897.92,"methodology":"fee schedule"}]}]},{"description":"HND CNTRL SYS VAPR PRM(228504)","code_information":[{"code":"70551959","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":456.68,"maximum":1332.85,"gross_charge":1403,"discounted_cash":955.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":785.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1192.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1262.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":561.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":533.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":456.68,"methodology":"fee schedule"}]}]},{"description":"AN CATH SET RAD ART(GH04122)","code_information":[{"code":"70551975","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":41.04,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"}]}]},{"description":"AN CATH SET RAD ART(GH04122)","code_information":[{"code":"70551975","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":24.74,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.74,"methodology":"fee schedule"}]}]},{"description":"CATH PORT-A SNGL LUM(21402324)","code_information":[{"code":"70551999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":633.96,"maximum":1115.3,"gross_charge":1174,"discounted_cash":799.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":939.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":633.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":997.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":798.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":751.36,"methodology":"fee schedule"}]}]},{"description":"CATH PORT-A SNGL LUM(21402324)","code_information":[{"code":"70551999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":382.14,"maximum":1115.3,"gross_charge":1174,"discounted_cash":799.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":939.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":657.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":997.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":469.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":446.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":382.14,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/ CONTRAST","code_information":[{"code":"70552","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":2442.96,"maximum":4297.8,"gross_charge":4524,"discounted_cash":3081.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3619.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2442.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3845.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4071.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3076.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2895.36,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/ CONTRAST","code_information":[{"code":"70552","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":220.73,"maximum":4297.8,"gross_charge":4524,"discounted_cash":3081.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.42,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2533.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3845.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4071.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1809.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4297.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.73,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1472.57,"methodology":"fee schedule"}]}]},{"description":"SEALANT EVICEL FIBRN FBRN(3902","code_information":[{"code":"70552020","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":412.56,"maximum":725.8,"gross_charge":764,"discounted_cash":520.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":687.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":519.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":488.96,"methodology":"fee schedule"}]}]},{"description":"SEALANT EVICEL FIBRN FBRN(3902","code_information":[{"code":"70552020","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":248.69,"maximum":725.8,"gross_charge":764,"discounted_cash":520.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":427.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":687.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":305.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":248.69,"methodology":"fee schedule"}]}]},{"description":"HEMOSTAT SURGCL SNOW(2082","code_information":[{"code":"70552025","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":220.86,"maximum":388.55,"gross_charge":409,"discounted_cash":278.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":327.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":220.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":347.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":278.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":261.76,"methodology":"fee schedule"}]}]},{"description":"HEMOSTAT SURGCL SNOW(2082","code_information":[{"code":"70552025","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":133.13,"maximum":388.55,"gross_charge":409,"discounted_cash":278.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":327.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":229.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":347.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":163.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":133.13,"methodology":"fee schedule"}]}]},{"description":"LIGATN SMRTBND (SLK6LF)","code_information":[{"code":"70552028","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":382.32,"maximum":672.6,"gross_charge":708,"discounted_cash":482.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":566.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":382.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":601.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":637.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":481.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":453.12,"methodology":"fee schedule"}]}]},{"description":"LIGATN SMRTBND (SLK6LF)","code_information":[{"code":"70552028","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":230.46,"maximum":672.6,"gross_charge":708,"discounted_cash":482.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":566.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":396.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":601.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":637.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":269.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":230.46,"methodology":"fee schedule"}]}]},{"description":"LIGATN SMRTBND (SLP6LF)","code_information":[{"code":"70552029","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":200.34,"maximum":352.45,"gross_charge":371,"discounted_cash":252.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":200.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":315.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":252.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":237.44,"methodology":"fee schedule"}]}]},{"description":"LIGATN SMRTBND (SLP6LF)","code_information":[{"code":"70552029","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":120.77,"maximum":352.45,"gross_charge":371,"discounted_cash":252.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":315.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":120.77,"methodology":"fee schedule"}]}]},{"description":"TIP RIGID EVICEL ENDO (3908)","code_information":[{"code":"70552030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.72,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"}]}]},{"description":"TIP RIGID EVICEL ENDO (3908)","code_information":[{"code":"70552030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.69,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.69,"methodology":"fee schedule"}]}]},{"description":"COCKUP SM R-L(00079900100/200","code_information":[{"code":"70552032","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":42.66,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.56,"methodology":"fee schedule"}]}]},{"description":"COCKUP SM R-L(00079900100/200","code_information":[{"code":"70552032","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":25.72,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.72,"methodology":"fee schedule"}]}]},{"description":"SOLUSET 100 (ANES)","code_information":[{"code":"70552177","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":81.54,"maximum":143.45,"gross_charge":151,"discounted_cash":102.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.64,"methodology":"fee schedule"}]}]},{"description":"SOLUSET 100 (ANES)","code_information":[{"code":"70552177","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":49.16,"maximum":143.45,"gross_charge":151,"discounted_cash":102.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":49.16,"methodology":"fee schedule"}]}]},{"description":"SYS PICO INSCSN(66800951/52)","code_information":[{"code":"70552178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":603.72,"maximum":1062.1,"gross_charge":1118,"discounted_cash":761.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":894.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":603.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":950.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":760.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":715.52,"methodology":"fee schedule"}]}]},{"description":"SYS PICO INSCSN(66800951/52)","code_information":[{"code":"70552178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":363.91,"maximum":1062.1,"gross_charge":1118,"discounted_cash":761.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":894.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":626.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":950.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":447.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1062.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":363.91,"methodology":"fee schedule"}]}]},{"description":"SYS PANNUS RETNTN(CZPRS04)","code_information":[{"code":"70552271","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":166.86,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"}]}]},{"description":"SYS PANNUS RETNTN(CZPRS04)","code_information":[{"code":"70552271","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":100.58,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":123.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":100.58,"methodology":"fee schedule"}]}]},{"description":"CATH DRNGE ASPIRA PERI(4992209","code_information":[{"code":"70552272","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2115.72,"maximum":3722.1,"gross_charge":3918,"discounted_cash":2669.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2115.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3330.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2664.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2507.52,"methodology":"fee schedule"}]}]},{"description":"CATH DRNGE ASPIRA PERI(4992209","code_information":[{"code":"70552272","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1275.31,"maximum":3722.1,"gross_charge":3918,"discounted_cash":2669.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2194.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3330.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1567.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3722.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1488.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1275.31,"methodology":"fee schedule"}]}]},{"description":"CATH J-TUBE (020012LV)","code_information":[{"code":"70552273","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":282.96,"maximum":497.8,"gross_charge":524,"discounted_cash":356.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":419.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":445.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":471.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":356.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":335.36,"methodology":"fee schedule"}]}]},{"description":"CATH J-TUBE (020012LV)","code_information":[{"code":"70552273","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":170.57,"maximum":497.8,"gross_charge":524,"discounted_cash":356.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":419.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":445.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":471.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":209.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":497.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":170.57,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 24FR (21024)","code_information":[{"code":"70552275","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":368.82,"maximum":648.85,"gross_charge":683,"discounted_cash":465.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":546.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":368.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":580.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":614.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":464.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437.12,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY 24FR (21024)","code_information":[{"code":"70552275","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":222.32,"maximum":648.85,"gross_charge":683,"discounted_cash":465.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":546.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":382.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":580.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":614.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":273.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":648.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":222.32,"methodology":"fee schedule"}]}]},{"description":"CATH BLLN BAKRI 24F (G24237)","code_information":[{"code":"70552278","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":624.78,"maximum":1099.15,"gross_charge":1157,"discounted_cash":788.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":925.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":983.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":786.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":740.48,"methodology":"fee schedule"}]}]},{"description":"CATH BLLN BAKRI 24F (G24237)","code_information":[{"code":"70552278","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":376.61,"maximum":1099.15,"gross_charge":1157,"discounted_cash":788.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":925.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":647.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":983.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":462.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1099.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":376.61,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH SGL 4CHNL(9012P1202","code_information":[{"code":"70552280","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.74,"maximum":219.45,"gross_charge":231,"discounted_cash":157.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":184.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":196.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":157.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH SGL 4CHNL(9012P1202","code_information":[{"code":"70552280","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":75.2,"maximum":219.45,"gross_charge":231,"discounted_cash":157.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":184.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":196.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"}]}]},{"description":"CATH FOL DX DVS BLLN (0187L)","code_information":[{"code":"70552282","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":233.82,"maximum":411.35,"gross_charge":433,"discounted_cash":294.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":346.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":233.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.12,"methodology":"fee schedule"}]}]},{"description":"CATH FOL DX DVS BLLN (0187L)","code_information":[{"code":"70552282","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":140.95,"maximum":411.35,"gross_charge":433,"discounted_cash":294.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":346.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.95,"methodology":"fee schedule"}]}]},{"description":"CATH PWR GLD PRO MDLN","code_information":[{"code":"70552287","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":258.66,"maximum":455.05,"gross_charge":479,"discounted_cash":326.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":383.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":407.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":431.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":325.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":306.56,"methodology":"fee schedule"}]}]},{"description":"CATH PWR GLD PRO MDLN","code_information":[{"code":"70552287","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":155.92,"maximum":455.05,"gross_charge":479,"discounted_cash":326.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":383.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":407.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":431.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":191.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":155.92,"methodology":"fee schedule"}]}]},{"description":"CATH EXP SILV SOAK PMP(PM010A)","code_information":[{"code":"70552367","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":100.44,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.04,"methodology":"fee schedule"}]}]},{"description":"CATH EXP SILV SOAK PMP(PM010A)","code_information":[{"code":"70552367","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":60.55,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":60.55,"methodology":"fee schedule"}]}]},{"description":"CATH EXP SILV SOAK (PM014A)","code_information":[{"code":"70552368","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":329.94,"maximum":580.45,"gross_charge":611,"discounted_cash":416.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":488.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":519.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":549.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":415.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":391.04,"methodology":"fee schedule"}]}]},{"description":"CATH EXP SILV SOAK (PM014A)","code_information":[{"code":"70552368","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":198.89,"maximum":580.45,"gross_charge":611,"discounted_cash":416.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":488.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":342.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":519.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":549.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":244.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":580.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":198.89,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY COUNCIL 18F","code_information":[{"code":"70552370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.56,"maximum":60.8,"gross_charge":64,"discounted_cash":43.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.96,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY COUNCIL 18F","code_information":[{"code":"70552370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.84,"maximum":60.8,"gross_charge":64,"discounted_cash":43.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.84,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE BL/TR (DSDS1011)","code_information":[{"code":"70552405","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":70.74,"maximum":124.45,"gross_charge":131,"discounted_cash":89.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.84,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE BL/TR (DSDS1011)","code_information":[{"code":"70552405","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":42.65,"maximum":124.45,"gross_charge":131,"discounted_cash":89.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":42.65,"methodology":"fee schedule"}]}]},{"description":"BLOCK NRV C-BLK ON-Q (CB004)","code_information":[{"code":"70552801","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":634.5,"maximum":1116.25,"gross_charge":1175,"discounted_cash":800.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":940,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":998.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":799,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":752,"methodology":"fee schedule"}]}]},{"description":"BLOCK NRV C-BLK ON-Q (CB004)","code_information":[{"code":"70552801","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":382.47,"maximum":1116.25,"gross_charge":1175,"discounted_cash":800.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":940,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":658,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":998.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":470,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":446.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":382.47,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/O & W/CONTRAST","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":3440.88,"maximum":6053.4,"gross_charge":6372,"discounted_cash":4340.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5097.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3440.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5416.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5734.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4332.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4078.08,"methodology":"fee schedule"}]}]},{"description":"MRI BRAIN W/O & W/CONTRAST","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":259.74,"maximum":6053.4,"gross_charge":6372,"discounted_cash":4340.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.95,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3568.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5416.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5734.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2548.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6053.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2074.09,"methodology":"fee schedule"}]}]},{"description":"MRI PITUITARY-BRAIN W/W-O","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":3200.04,"maximum":5629.7,"gross_charge":5926,"discounted_cash":4037.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4740.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3200.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5037.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5333.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4029.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3792.64,"methodology":"fee schedule"}]}]},{"description":"MRI PITUITARY-BRAIN W/W-O","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":259.74,"maximum":5629.7,"gross_charge":5926,"discounted_cash":4037.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1812.95,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3318.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5037.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5333.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2370.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5629.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1928.92,"methodology":"fee schedule"}]}]},{"description":"COLOSTOMY POST-OP KIT 4209-39","code_information":[{"code":"70553118","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":192.78,"maximum":339.15,"gross_charge":357,"discounted_cash":243.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":303.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":321.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.48,"methodology":"fee schedule"}]}]},{"description":"COLOSTOMY POST-OP KIT 4209-39","code_information":[{"code":"70553118","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":116.21,"maximum":339.15,"gross_charge":357,"discounted_cash":243.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":303.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":321.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"}]}]},{"description":"AN ESOPH STETHSCOPE TEMP PROBE","code_information":[{"code":"70553199","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.28,"maximum":172.9,"gross_charge":182,"discounted_cash":123.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":145.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":163.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":123.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.48,"methodology":"fee schedule"}]}]},{"description":"AN ESOPH STETHSCOPE TEMP PROBE","code_information":[{"code":"70553199","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.25,"maximum":172.9,"gross_charge":182,"discounted_cash":123.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":145.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":163.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"}]}]},{"description":"C-SECTION STERILE PAK","code_information":[{"code":"70553606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":142.02,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.32,"methodology":"fee schedule"}]}]},{"description":"C-SECTION STERILE PAK","code_information":[{"code":"70553606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.61,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.61,"methodology":"fee schedule"}]}]},{"description":"OWENS DRSG (8342)","code_information":[{"code":"70553740","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.34,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.44,"methodology":"fee schedule"}]}]},{"description":"OWENS DRSG (8342)","code_information":[{"code":"70553740","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.12,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.12,"methodology":"fee schedule"}]}]},{"description":"LAP TB INSU HI FLO HEATED","code_information":[{"code":"70553776","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":106.38,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.08,"methodology":"fee schedule"}]}]},{"description":"LAP TB INSU HI FLO HEATED","code_information":[{"code":"70553776","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.13,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.13,"methodology":"fee schedule"}]}]},{"description":"ELECTRD LAPSCP LHK (0020)","code_information":[{"code":"70553777","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":162.54,"maximum":285.95,"gross_charge":301,"discounted_cash":205.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":204.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192.64,"methodology":"fee schedule"}]}]},{"description":"ELECTRD LAPSCP LHK (0020)","code_information":[{"code":"70553777","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":97.98,"maximum":285.95,"gross_charge":301,"discounted_cash":205.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.98,"methodology":"fee schedule"}]}]},{"description":"ROBOTIC LASER FBR (BPROBOTIC)","code_information":[{"code":"70553778","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3187.62,"maximum":5607.85,"gross_charge":5903,"discounted_cash":4021.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4722.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3187.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5017.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5312.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4014.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3777.92,"methodology":"fee schedule"}]}]},{"description":"ROBOTIC LASER FBR (BPROBOTIC)","code_information":[{"code":"70553778","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1921.43,"maximum":5607.85,"gross_charge":5903,"discounted_cash":4021.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4722.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3305.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5017.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5312.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2361.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5607.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2243.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1921.43,"methodology":"fee schedule"}]}]},{"description":"ANES LIDO KT IT 4%/4ML (6300)","code_information":[{"code":"70553800","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":52.38,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.08,"methodology":"fee schedule"}]}]},{"description":"ANES LIDO KT IT 4%/4ML (6300)","code_information":[{"code":"70553800","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.58,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.58,"methodology":"fee schedule"}]}]},{"description":"AN BRONCHIAL DBL LUMEN TUBE LT","code_information":[{"code":"70553805","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":201.96,"maximum":355.3,"gross_charge":374,"discounted_cash":254.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":317.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":254.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.36,"methodology":"fee schedule"}]}]},{"description":"AN BRONCHIAL DBL LUMEN TUBE LT","code_information":[{"code":"70553805","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":121.74,"maximum":355.3,"gross_charge":374,"discounted_cash":254.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":209.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":317.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":121.74,"methodology":"fee schedule"}]}]},{"description":"AN BRONCHIAL DBL LUMEN TUBE RT","code_information":[{"code":"70553810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":219.24,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.84,"methodology":"fee schedule"}]}]},{"description":"AN BRONCHIAL DBL LUMEN TUBE RT","code_information":[{"code":"70553810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.16,"maximum":385.7,"gross_charge":406,"discounted_cash":276.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":345.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":365.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":132.16,"methodology":"fee schedule"}]}]},{"description":"LASER ET TUBE","code_information":[{"code":"70553815","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":207.9,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"}]}]},{"description":"LASER ET TUBE","code_information":[{"code":"70553815","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":125.32,"maximum":365.75,"gross_charge":385,"discounted_cash":262.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":327.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":346.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.32,"methodology":"fee schedule"}]}]},{"description":"ET TUBE EMG RENF(8299306/08","code_information":[{"code":"70553816","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":687.96,"maximum":1210.3,"gross_charge":1274,"discounted_cash":867.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":687.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1146.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":866.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":815.36,"methodology":"fee schedule"}]}]},{"description":"ET TUBE EMG RENF(8299306/08","code_information":[{"code":"70553816","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":414.69,"maximum":1210.3,"gross_charge":1274,"discounted_cash":867.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":713.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1146.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":509.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":484.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":414.69,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACH CNTRL TIP 6.0","code_information":[{"code":"70553830","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.62,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.92,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACH CNTRL TIP 6.0","code_information":[{"code":"70553830","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.26,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACH 7M ARMED (10390230)","code_information":[{"code":"70553835","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":149.58,"maximum":263.15,"gross_charge":277,"discounted_cash":188.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":221.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":149.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":235.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":249.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":188.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.28,"methodology":"fee schedule"}]}]},{"description":"ENDOTRACH 7M ARMED (10390230)","code_information":[{"code":"70553835","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.17,"maximum":263.15,"gross_charge":277,"discounted_cash":188.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":221.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":155.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":235.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":249.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.17,"methodology":"fee schedule"}]}]},{"description":"EPIDURAL CATH SET (EC05400)","code_information":[{"code":"70553845","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.06,"maximum":84.55,"gross_charge":89,"discounted_cash":60.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":71.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.96,"methodology":"fee schedule"}]}]},{"description":"EPIDURAL CATH SET (EC05400)","code_information":[{"code":"70553845","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.97,"maximum":84.55,"gross_charge":89,"discounted_cash":60.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":71.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.97,"methodology":"fee schedule"}]}]},{"description":"SHOE POD DARBY TRAUMA/SURG","code_information":[{"code":"70553903","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":122.04,"maximum":214.7,"gross_charge":226,"discounted_cash":153.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":203.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.64,"methodology":"fee schedule"}]}]},{"description":"SHOE POD DARBY TRAUMA/SURG","code_information":[{"code":"70553903","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":73.57,"maximum":214.7,"gross_charge":226,"discounted_cash":153.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":180.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":203.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.57,"methodology":"fee schedule"}]}]},{"description":"CR HIP SPICA CONSTRUCTN(ADULT)","code_information":[{"code":"70553909","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":640.44,"maximum":1126.7,"gross_charge":1186,"discounted_cash":807.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":948.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":640.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":806.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":759.04,"methodology":"fee schedule"}]}]},{"description":"CR HIP SPICA CONSTRUCTN(ADULT)","code_information":[{"code":"70553909","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":386.05,"maximum":1126.7,"gross_charge":1186,"discounted_cash":807.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":948.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":664.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":450.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":386.05,"methodology":"fee schedule"}]}]},{"description":"CR HIP SPICA CONSTRUCTN(CHILD)","code_information":[{"code":"70553912","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":628.02,"maximum":1104.85,"gross_charge":1163,"discounted_cash":792.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":930.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":988.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":790.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":744.32,"methodology":"fee schedule"}]}]},{"description":"CR HIP SPICA CONSTRUCTN(CHILD)","code_information":[{"code":"70553912","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":378.56,"maximum":1104.85,"gross_charge":1163,"discounted_cash":792.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":930.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":988.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":465.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1104.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":378.56,"methodology":"fee schedule"}]}]},{"description":"CLAMP TB-TB-HYB-FX NS","code_information":[{"code":"70554010","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1613.52,"maximum":2838.6,"gross_charge":2988,"discounted_cash":2035.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1613.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2539.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2031.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1912.32,"methodology":"fee schedule"}]}]},{"description":"CLAMP TB-TB-HYB-FX NS","code_information":[{"code":"70554010","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":972.6,"maximum":2838.6,"gross_charge":2988,"discounted_cash":2035.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2390.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1673.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2539.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2689.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1195.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1135.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":972.6,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTICOAT 4X8 DRSG","code_information":[{"code":"70554016","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":110.7,"maximum":194.75,"gross_charge":205,"discounted_cash":139.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":174.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.2,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTICOAT 4X8 DRSG","code_information":[{"code":"70554016","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":66.73,"maximum":194.75,"gross_charge":205,"discounted_cash":139.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":174.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":66.73,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTCT PSTOP DRSG(66800057","code_information":[{"code":"70554018","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.86,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTCT PSTOP DRSG(66800057","code_information":[{"code":"70554018","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.76,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.76,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTCTFLEX DRSG(66800405)","code_information":[{"code":"70554019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.8,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"}]}]},{"description":"ORTH ACTCTFLEX DRSG(66800405)","code_information":[{"code":"70554019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.79,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.79,"methodology":"fee schedule"}]}]},{"description":"UROL CATH DUAL LUM URET 10F","code_information":[{"code":"70554021","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":115.02,"maximum":202.35,"gross_charge":213,"discounted_cash":145.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":170.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":191.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.32,"methodology":"fee schedule"}]}]},{"description":"UROL CATH DUAL LUM URET 10F","code_information":[{"code":"70554021","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":69.34,"maximum":202.35,"gross_charge":213,"discounted_cash":145.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":170.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":191.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.34,"methodology":"fee schedule"}]}]},{"description":"UA CONTGN TRNSURTH INJ SYS","code_information":[{"code":"70554023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.2,"maximum":123.5,"gross_charge":130,"discounted_cash":88.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":110.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"}]}]},{"description":"UA CONTGN TRNSURTH INJ SYS","code_information":[{"code":"70554023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.32,"maximum":123.5,"gross_charge":130,"discounted_cash":88.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":110.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":42.32,"methodology":"fee schedule"}]}]},{"description":"ORTH ANKLE DISTRCTR STRAP K","code_information":[{"code":"70554035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.18,"maximum":63.65,"gross_charge":67,"discounted_cash":45.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":60.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.88,"methodology":"fee schedule"}]}]},{"description":"ORTH ANKLE DISTRCTR STRAP K","code_information":[{"code":"70554035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.81,"maximum":63.65,"gross_charge":67,"discounted_cash":45.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":60.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.81,"methodology":"fee schedule"}]}]},{"description":"ORTH BASKET PUNH(12015-12016)","code_information":[{"code":"70554037","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1522.26,"maximum":2678.05,"gross_charge":2819,"discounted_cash":1920.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2255.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1522.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2396.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2537.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1916.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1804.16,"methodology":"fee schedule"}]}]},{"description":"ORTH BASKET PUNH(12015-12016)","code_information":[{"code":"70554037","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":917.59,"maximum":2678.05,"gross_charge":2819,"discounted_cash":1920.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2255.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1578.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2396.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2537.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2678.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1071.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":917.59,"methodology":"fee schedule"}]}]},{"description":"ANTIFOG SOLTN FRED 300006","code_information":[{"code":"70554060","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":95.58,"maximum":168.15,"gross_charge":177,"discounted_cash":120.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":150.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":159.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"}]}]},{"description":"ANTIFOG SOLTN FRED 300006","code_information":[{"code":"70554060","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":57.62,"maximum":168.15,"gross_charge":177,"discounted_cash":120.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":141.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":150.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":159.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"}]}]},{"description":"ENT ARCH BAR DENTAL(STORZ10","code_information":[{"code":"70554070","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":128.52,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"}]}]},{"description":"ENT ARCH BAR DENTAL(STORZ10","code_information":[{"code":"70554070","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":77.47,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.47,"methodology":"fee schedule"}]}]},{"description":"ENT BUTTON NSL 2PRT(1524102)","code_information":[{"code":"70554081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":335.88,"maximum":590.9,"gross_charge":622,"discounted_cash":423.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":497.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":335.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":528.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":559.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":422.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":398.08,"methodology":"fee schedule"}]}]},{"description":"ENT BUTTON NSL 2PRT(1524102)","code_information":[{"code":"70554081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":202.47,"maximum":590.9,"gross_charge":622,"discounted_cash":423.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":497.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":348.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":528.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":559.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":590.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":202.47,"methodology":"fee schedule"}]}]},{"description":"ENDO ECHELON 45 (EC45) ETHCN","code_information":[{"code":"70554085","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":400.14,"maximum":703.95,"gross_charge":741,"discounted_cash":504.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":503.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":474.24,"methodology":"fee schedule"}]}]},{"description":"ENDO ECHELON 45 (EC45) ETHCN","code_information":[{"code":"70554085","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":241.2,"maximum":703.95,"gross_charge":741,"discounted_cash":504.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":592.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":414.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":666.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":703.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":241.2,"methodology":"fee schedule"}]}]},{"description":"UROL NDL HF-RES RGT(WA22540S)","code_information":[{"code":"70554110","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":950.4,"maximum":1672,"gross_charge":1760,"discounted_cash":1198.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1408,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":950.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1496,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1584,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1196.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1126.4,"methodology":"fee schedule"}]}]},{"description":"UROL NDL HF-RES RGT(WA22540S)","code_information":[{"code":"70554110","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":572.88,"maximum":1672,"gross_charge":1760,"discounted_cash":1198.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1408,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":985.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1496,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1584,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":704,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1672,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":668.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":572.88,"methodology":"fee schedule"}]}]},{"description":"UROL SHTH URET(M0062502220/80)","code_information":[{"code":"70554114","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":262.44,"maximum":461.7,"gross_charge":486,"discounted_cash":331.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":262.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":437.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":330.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.04,"methodology":"fee schedule"}]}]},{"description":"UROL SHTH URET(M0062502220/80)","code_information":[{"code":"70554114","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":158.2,"maximum":461.7,"gross_charge":486,"discounted_cash":331.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":437.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":158.2,"methodology":"fee schedule"}]}]},{"description":"UROL BASKET-NIT 2.4 ZERO TP","code_information":[{"code":"70554116","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":400.68,"maximum":704.9,"gross_charge":742,"discounted_cash":505.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":593.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":630.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":667.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":504.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":474.88,"methodology":"fee schedule"}]}]},{"description":"UROL BASKET-NIT 2.4 ZERO TP","code_information":[{"code":"70554116","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":241.53,"maximum":704.9,"gross_charge":742,"discounted_cash":505.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":593.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":415.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":630.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":667.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":704.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":241.53,"methodology":"fee schedule"}]}]},{"description":"UROL BASKET SEGURA 3.0","code_information":[{"code":"70554120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":397.98,"maximum":700.15,"gross_charge":737,"discounted_cash":502.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":589.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":397.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":626.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":663.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":501.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":471.68,"methodology":"fee schedule"}]}]},{"description":"UROL BASKET SEGURA 3.0","code_information":[{"code":"70554120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":239.9,"maximum":700.15,"gross_charge":737,"discounted_cash":502.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":589.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":626.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":663.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":280.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":239.9,"methodology":"fee schedule"}]}]},{"description":"UROL COIL RETRV URO (390-310)","code_information":[{"code":"70554126","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":520.56,"maximum":915.8,"gross_charge":964,"discounted_cash":656.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":771.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":520.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":819.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":867.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":655.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":616.96,"methodology":"fee schedule"}]}]},{"description":"UROL COIL RETRV URO (390-310)","code_information":[{"code":"70554126","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":313.79,"maximum":915.8,"gross_charge":964,"discounted_cash":656.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":771.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":539.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":819.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":867.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":385.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":366.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":313.79,"methodology":"fee schedule"}]}]},{"description":"UROL BRUSH CYTO CLONSCP(CYB2)","code_information":[{"code":"70554129","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":333.72,"maximum":587.1,"gross_charge":618,"discounted_cash":421.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":494.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":333.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":525.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":556.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":420.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":395.52,"methodology":"fee schedule"}]}]},{"description":"UROL BRUSH CYTO CLONSCP(CYB2)","code_information":[{"code":"70554129","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":201.16,"maximum":587.1,"gross_charge":618,"discounted_cash":421.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":494.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":525.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":556.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":587.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":234.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":201.16,"methodology":"fee schedule"}]}]},{"description":"UROL BSKT OPTFLX NTNOL 1.3X120","code_information":[{"code":"70554150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":485.46,"maximum":854.05,"gross_charge":899,"discounted_cash":612.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":719.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":485.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":764.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":809.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":611.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":575.36,"methodology":"fee schedule"}]}]},{"description":"UROL BSKT OPTFLX NTNOL 1.3X120","code_information":[{"code":"70554150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":292.63,"maximum":854.05,"gross_charge":899,"discounted_cash":612.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":719.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":764.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":809.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":359.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":292.63,"methodology":"fee schedule"}]}]},{"description":"GYN WOUND SHEET 100MG/7X10CM","code_information":[{"code":"70554152","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":621.54,"maximum":1093.45,"gross_charge":1151,"discounted_cash":784.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":920.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":621.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":978.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":782.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":736.64,"methodology":"fee schedule"}]}]},{"description":"GYN WOUND SHEET 100MG/7X10CM","code_information":[{"code":"70554152","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":374.66,"maximum":1093.45,"gross_charge":1151,"discounted_cash":784.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":920.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":644.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":978.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":460.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":437.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":374.66,"methodology":"fee schedule"}]}]},{"description":"GYN DISSCTR ULTRASONIC(SCD396)","code_information":[{"code":"70554162","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":992.52,"maximum":1746.1,"gross_charge":1838,"discounted_cash":1252.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":992.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1249.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1176.32,"methodology":"fee schedule"}]}]},{"description":"GYN DISSCTR ULTRASONIC(SCD396)","code_information":[{"code":"70554162","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":598.27,"maximum":1746.1,"gross_charge":1838,"discounted_cash":1252.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1562.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":735.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":698.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":598.27,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMVL(10403)","code_information":[{"code":"70554163","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1510.38,"maximum":2657.15,"gross_charge":2797,"discounted_cash":1905.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1510.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2377.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2517.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1901.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1790.08,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMVL(10403)","code_information":[{"code":"70554163","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":910.43,"maximum":2657.15,"gross_charge":2797,"discounted_cash":1905.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2377.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2517.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1118.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2657.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1062.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":910.43,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMV(50503XL","code_information":[{"code":"70554164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1767.42,"maximum":3109.35,"gross_charge":3273,"discounted_cash":2229.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2782.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2945.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2094.72,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMV(50503XL","code_information":[{"code":"70554164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1065.37,"maximum":3109.35,"gross_charge":3273,"discounted_cash":2229.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2618.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1832.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2782.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2945.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1309.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3109.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1243.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1065.37,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMV(30403LI","code_information":[{"code":"70554166","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":969.3,"maximum":1705.25,"gross_charge":1795,"discounted_cash":1222.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":969.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1615.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1148.8,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RMV(30403LI","code_information":[{"code":"70554166","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":584.28,"maximum":1705.25,"gross_charge":1795,"discounted_cash":1222.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1615.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":718,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":682.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":584.28,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RCH(10403FC","code_information":[{"code":"70554167","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1660.5,"maximum":2921.25,"gross_charge":3075,"discounted_cash":2094.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2460,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1660.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2613.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2767.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2091,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1968,"methodology":"fee schedule"}]}]},{"description":"GYN DEV MYSR TISS RCH(10403FC","code_information":[{"code":"70554167","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1000.92,"maximum":2921.25,"gross_charge":3075,"discounted_cash":2094.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2460,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1722,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2613.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2767.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1230,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1168.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1000.92,"methodology":"fee schedule"}]}]},{"description":"GYN MICRO MATRIX 200MG","code_information":[{"code":"70554175","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1136.7,"maximum":1999.75,"gross_charge":2105,"discounted_cash":1434.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1684,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1894.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1347.2,"methodology":"fee schedule"}]}]},{"description":"GYN MICRO MATRIX 200MG","code_information":[{"code":"70554175","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":685.18,"maximum":1999.75,"gross_charge":2105,"discounted_cash":1434.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1684,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1178.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1894.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":842,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":685.18,"methodology":"fee schedule"}]}]},{"description":"GYN MICRO MATRIX 500MG","code_information":[{"code":"70554176","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2619.54,"maximum":4608.45,"gross_charge":4851,"discounted_cash":3304.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2619.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4123.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4365.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3298.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3104.64,"methodology":"fee schedule"}]}]},{"description":"GYN MICRO MATRIX 500MG","code_information":[{"code":"70554176","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1579.01,"maximum":4608.45,"gross_charge":4851,"discounted_cash":3304.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3880.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2716.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4123.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4365.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1940.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4608.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1843.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1579.01,"methodology":"fee schedule"}]}]},{"description":"GYN ELECT BALL RND (909009)","code_information":[{"code":"70554178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.98,"maximum":82.65,"gross_charge":87,"discounted_cash":59.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":78.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"}]}]},{"description":"GYN ELECT BALL RND (909009)","code_information":[{"code":"70554178","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.32,"maximum":82.65,"gross_charge":87,"discounted_cash":59.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":78.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.32,"methodology":"fee schedule"}]}]},{"description":"ORTH NDL ULT FSTFIXAB RVRD CRV","code_information":[{"code":"70554231","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":430.92,"maximum":758.1,"gross_charge":798,"discounted_cash":543.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":430.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":718.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":542.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":510.72,"methodology":"fee schedule"}]}]},{"description":"ORTH NDL ULT FSTFIXAB RVRD CRV","code_information":[{"code":"70554231","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":259.75,"maximum":758.1,"gross_charge":798,"discounted_cash":543.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":446.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":718.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":758.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":303.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":259.75,"methodology":"fee schedule"}]}]},{"description":"ORTH NDL MLTIFIRE SCORPION","code_information":[{"code":"70554235","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":394.74,"maximum":694.45,"gross_charge":731,"discounted_cash":497.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":584.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":621.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":657.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":497.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.84,"methodology":"fee schedule"}]}]},{"description":"ORTH NDL MLTIFIRE SCORPION","code_information":[{"code":"70554235","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":237.95,"maximum":694.45,"gross_charge":731,"discounted_cash":497.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":584.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":621.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":657.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":292.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":694.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":237.95,"methodology":"fee schedule"}]}]},{"description":"SUTR FIBER TAPE 2MM (AR72377)","code_information":[{"code":"70554239","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":143.1,"maximum":251.75,"gross_charge":265,"discounted_cash":180.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":212,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":225.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":238.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"}]}]},{"description":"SUTR FIBER TAPE 2MM (AR72377)","code_information":[{"code":"70554239","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":86.26,"maximum":251.75,"gross_charge":265,"discounted_cash":180.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":212,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":148.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":225.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":238.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"}]}]},{"description":"ORTH PARS SUT KT IMP(AR8862DS)","code_information":[{"code":"70554247","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3033.72,"maximum":5337.1,"gross_charge":5618,"discounted_cash":3827.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4494.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3033.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4775.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5056.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3820.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3595.52,"methodology":"fee schedule"}]}]},{"description":"ORTH PARS SUT KT IMP(AR8862DS)","code_information":[{"code":"70554247","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1828.66,"maximum":5337.1,"gross_charge":5618,"discounted_cash":3827.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4494.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3146.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4775.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5056.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2247.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5337.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2134.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1828.66,"methodology":"fee schedule"}]}]},{"description":"ORTH BRITEFIELD LIGHT WV-GUIDE","code_information":[{"code":"70554256","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":578.34,"maximum":1017.45,"gross_charge":1071,"discounted_cash":729.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":910.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":963.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":728.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"}]}]},{"description":"ORTH BRITEFIELD LIGHT WV-GUIDE","code_information":[{"code":"70554256","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":348.62,"maximum":1017.45,"gross_charge":1071,"discounted_cash":729.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":599.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":910.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":963.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":348.62,"methodology":"fee schedule"}]}]},{"description":"ORTH QUICKPASS LASS 45D CRVD R","code_information":[{"code":"70554259","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":370.98,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":467.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"}]}]},{"description":"ORTH QUICKPASS LASS 45D CRVD R","code_information":[{"code":"70554259","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":223.62,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":261.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":223.62,"methodology":"fee schedule"}]}]},{"description":"ORTH QUICKSET KIT (ABS3008)","code_information":[{"code":"70554263","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3541.86,"maximum":6231.05,"gross_charge":6559,"discounted_cash":4468.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3541.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5575.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5903.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4460.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4197.76,"methodology":"fee schedule"}]}]},{"description":"ORTH QUICKSET KIT (ABS3008)","code_information":[{"code":"70554263","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2134.96,"maximum":6231.05,"gross_charge":6559,"discounted_cash":4468.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3673.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5575.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5903.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6231.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2492.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2134.96,"methodology":"fee schedule"}]}]},{"description":"NAIL RET/ANTE ECAP 3.0-4S","code_information":[{"code":"70554270","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":422.82,"maximum":743.85,"gross_charge":783,"discounted_cash":533.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":704.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":532.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":501.12,"methodology":"fee schedule"}]}]},{"description":"NAIL RET/ANTE ECAP 3.0-4S","code_information":[{"code":"70554270","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":254.87,"maximum":743.85,"gross_charge":783,"discounted_cash":533.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":438.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":665.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":704.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":743.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":297.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":254.87,"methodology":"fee schedule"}]}]},{"description":"NAIL 4.9 LOCK BOLT 459.26-100","code_information":[{"code":"70554280","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":390.96,"maximum":687.8,"gross_charge":724,"discounted_cash":493.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":579.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":390.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":615.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":651.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":492.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":463.36,"methodology":"fee schedule"}]}]},{"description":"NAIL 4.9 LOCK BOLT 459.26-100","code_information":[{"code":"70554280","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":235.67,"maximum":687.8,"gross_charge":724,"discounted_cash":493.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":579.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":405.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":615.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":651.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":289.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":687.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":235.67,"methodology":"fee schedule"}]}]},{"description":"NAIL 4.0M LKSC 4.005.408-470","code_information":[{"code":"70554288","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":483.84,"maximum":851.2,"gross_charge":896,"discounted_cash":610.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":716.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":483.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":761.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":609.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":573.44,"methodology":"fee schedule"}]}]},{"description":"NAIL 4.0M LKSC 4.005.408-470","code_information":[{"code":"70554288","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":291.65,"maximum":851.2,"gross_charge":896,"discounted_cash":610.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":716.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":501.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":761.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":358.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":340.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"}]}]},{"description":"ORTH SHLDR SLNG UNIV QKFIT06AB","code_information":[{"code":"70554292","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":89.64,"maximum":157.7,"gross_charge":166,"discounted_cash":113.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"ORTH SHLDR SLNG UNIV QKFIT06AB","code_information":[{"code":"70554292","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":54.04,"maximum":157.7,"gross_charge":166,"discounted_cash":113.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.04,"methodology":"fee schedule"}]}]},{"description":"ORTH KNEE BRACE","code_information":[{"code":"70554294","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":290.52,"maximum":511.1,"gross_charge":538,"discounted_cash":366.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":430.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":457.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":484.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":365.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":344.32,"methodology":"fee schedule"}]}]},{"description":"ORTH KNEE BRACE","code_information":[{"code":"70554294","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":175.12,"maximum":511.1,"gross_charge":538,"discounted_cash":366.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":430.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":301.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":457.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":484.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":215.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":175.12,"methodology":"fee schedule"}]}]},{"description":"BRONCHOSCP FRCP BX (FB-19C-1)","code_information":[{"code":"70554296","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":588.06,"maximum":1034.55,"gross_charge":1089,"discounted_cash":741.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":871.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":588.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":925.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":980.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":740.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":696.96,"methodology":"fee schedule"}]}]},{"description":"BRONCHOSCP FRCP BX (FB-19C-1)","code_information":[{"code":"70554296","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":354.47,"maximum":1034.55,"gross_charge":1089,"discounted_cash":741.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":871.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":609.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":925.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":980.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":435.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":413.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":354.47,"methodology":"fee schedule"}]}]},{"description":"BRONCHIAL BRUSH","code_information":[{"code":"70554300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.96,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.36,"methodology":"fee schedule"}]}]},{"description":"BRONCHIAL BRUSH","code_information":[{"code":"70554300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (45750001)","code_information":[{"code":"70554365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":81,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (45750001)","code_information":[{"code":"70554365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":48.83,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.83,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT-T CARTD(PRUT400","code_information":[{"code":"70554380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":545.4,"maximum":959.5,"gross_charge":1010,"discounted_cash":688.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":808,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":545.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":858.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":909,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":686.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":646.4,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT-T CARTD(PRUT400","code_information":[{"code":"70554380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":328.76,"maximum":959.5,"gross_charge":1010,"discounted_cash":688.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":808,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":565.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":858.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":909,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":959.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":328.76,"methodology":"fee schedule"}]}]},{"description":"CATH PLEURX+STRTR KT(507700)","code_information":[{"code":"70554404","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1602.18,"maximum":2818.65,"gross_charge":2967,"discounted_cash":2021.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1602.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2521.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2670.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2017.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1898.88,"methodology":"fee schedule"}]}]},{"description":"CATH PLEURX+STRTR KT(507700)","code_information":[{"code":"70554404","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":965.76,"maximum":2818.65,"gross_charge":2967,"discounted_cash":2021.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1661.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2521.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2670.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1127.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":965.76,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM(20018M55","code_information":[{"code":"70554409","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":127.98,"maximum":225.15,"gross_charge":237,"discounted_cash":161.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":189.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":201.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":213.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.68,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM(20018M55","code_information":[{"code":"70554409","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":77.15,"maximum":225.15,"gross_charge":237,"discounted_cash":161.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":189.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":201.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":213.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.15,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM","code_information":[{"code":"70554410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":50.76,"maximum":89.3,"gross_charge":94,"discounted_cash":64.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.16,"methodology":"fee schedule"}]}]},{"description":"CATH CHOLANGIOGRAM","code_information":[{"code":"70554410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.6,"maximum":89.3,"gross_charge":94,"discounted_cash":64.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"}]}]},{"description":"URTRL CATH-WHSTL GU2503-005","code_information":[{"code":"70554445","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.5,"maximum":166.25,"gross_charge":175,"discounted_cash":119.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":148.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":157.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":112,"methodology":"fee schedule"}]}]},{"description":"URTRL CATH-WHSTL GU2503-005","code_information":[{"code":"70554445","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.97,"maximum":166.25,"gross_charge":175,"discounted_cash":119.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":148.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":157.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":56.97,"methodology":"fee schedule"}]}]},{"description":"ORTH ELECT VAPR TRIPLR(225028)","code_information":[{"code":"70554464","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":853.2,"maximum":1501,"gross_charge":1580,"discounted_cash":1076.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1264,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":853.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1343,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1422,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1074.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1011.2,"methodology":"fee schedule"}]}]},{"description":"ORTH ELECT VAPR TRIPLR(225028)","code_information":[{"code":"70554464","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":514.29,"maximum":1501,"gross_charge":1580,"discounted_cash":1076.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1264,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":884.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1343,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1422,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":632,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1501,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":514.29,"methodology":"fee schedule"}]}]},{"description":"VASC CLAMP JAW INSERTS (SM)","code_information":[{"code":"70554510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":162,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"}]}]},{"description":"VASC CLAMP JAW INSERTS (SM)","code_information":[{"code":"70554510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":97.65,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.65,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP DSIP LARGE","code_information":[{"code":"70554545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":133.92,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.72,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP DSIP LARGE","code_information":[{"code":"70554545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.73,"maximum":235.6,"gross_charge":248,"discounted_cash":168.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":138.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP CARTRGE M/LG GREEN","code_information":[{"code":"70554550","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.02,"maximum":59.85,"gross_charge":63,"discounted_cash":42.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP CARTRGE M/LG GREEN","code_information":[{"code":"70554550","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.51,"maximum":59.85,"gross_charge":63,"discounted_cash":42.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.51,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP CARTRIDGE MED BLUE","code_information":[{"code":"70554555","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.58,"maximum":25.65,"gross_charge":27,"discounted_cash":18.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":24.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":18.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP CARTRIDGE MED BLUE","code_information":[{"code":"70554555","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.79,"maximum":25.65,"gross_charge":27,"discounted_cash":18.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":24.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":8.79,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP DISP MED","code_information":[{"code":"70554565","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.84,"maximum":233.7,"gross_charge":246,"discounted_cash":167.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":221.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"}]}]},{"description":"HEMOCLIP DISP MED","code_information":[{"code":"70554565","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.08,"maximum":233.7,"gross_charge":246,"discounted_cash":167.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":221.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":98.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":80.08,"methodology":"fee schedule"}]}]},{"description":"ENT CLIP RANEY CODM 20-1037","code_information":[{"code":"70554585","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":327.78,"maximum":576.65,"gross_charge":607,"discounted_cash":413.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":485.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":327.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":515.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":546.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":388.48,"methodology":"fee schedule"}]}]},{"description":"ENT CLIP RANEY CODM 20-1037","code_information":[{"code":"70554585","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":197.58,"maximum":576.65,"gross_charge":607,"discounted_cash":413.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":485.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":515.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":546.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":576.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":230.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":197.58,"methodology":"fee schedule"}]}]},{"description":"CODMAN PATTIES (PKG)80-1406","code_information":[{"code":"70554610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.68,"maximum":87.4,"gross_charge":92,"discounted_cash":62.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.88,"methodology":"fee schedule"}]}]},{"description":"CODMAN PATTIES (PKG)80-1406","code_information":[{"code":"70554610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.95,"maximum":87.4,"gross_charge":92,"discounted_cash":62.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.95,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF KNEE AIRCAST LRG","code_information":[{"code":"70554640","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":235.44,"maximum":414.2,"gross_charge":436,"discounted_cash":297.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":348.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":235.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":370.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":392.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":296.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":279.04,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF KNEE AIRCAST LRG","code_information":[{"code":"70554640","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":141.92,"maximum":414.2,"gross_charge":436,"discounted_cash":297.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":348.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":244.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":370.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":392.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":141.92,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF SHLDR W/PMP W/CK","code_information":[{"code":"70554642","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":248.94,"maximum":437.95,"gross_charge":461,"discounted_cash":314.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":368.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":248.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":391.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":414.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":313.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":295.04,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF SHLDR W/PMP W/CK","code_information":[{"code":"70554642","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":150.06,"maximum":437.95,"gross_charge":461,"discounted_cash":314.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":368.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":391.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":414.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":184.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":437.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF KNEE AIRCAST MED","code_information":[{"code":"70554645","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":232.74,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.84,"methodology":"fee schedule"}]}]},{"description":"CRYO-CUFF KNEE AIRCAST MED","code_information":[{"code":"70554645","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":140.3,"maximum":409.45,"gross_charge":431,"discounted_cash":293.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":344.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":241.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":366.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":387.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":172.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":409.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.3,"methodology":"fee schedule"}]}]},{"description":"POLAR CARE HIP WRAP (10713)","code_information":[{"code":"70554646","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":237.6,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.6,"methodology":"fee schedule"}]}]},{"description":"POLAR CARE HIP WRAP (10713)","code_information":[{"code":"70554646","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":143.22,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":143.22,"methodology":"fee schedule"}]}]},{"description":"UROL GRASP-IT (STONE RETVR)","code_information":[{"code":"70554651","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":485.46,"maximum":854.05,"gross_charge":899,"discounted_cash":612.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":719.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":485.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":764.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":809.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":611.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":575.36,"methodology":"fee schedule"}]}]},{"description":"UROL GRASP-IT (STONE RETVR)","code_information":[{"code":"70554651","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":292.63,"maximum":854.05,"gross_charge":899,"discounted_cash":612.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":719.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":764.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":809.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":359.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":854.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":292.63,"methodology":"fee schedule"}]}]},{"description":"UROL ESCAPE BASKET","code_information":[{"code":"70554653","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":530.28,"maximum":932.9,"gross_charge":982,"discounted_cash":668.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":785.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":530.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":834.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":883.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":667.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.48,"methodology":"fee schedule"}]}]},{"description":"UROL ESCAPE BASKET","code_information":[{"code":"70554653","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":319.65,"maximum":932.9,"gross_charge":982,"discounted_cash":668.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":785.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":549.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":834.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":883.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":392.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":319.65,"methodology":"fee schedule"}]}]},{"description":"UROL CUT BALL 28F A2189","code_information":[{"code":"70554655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":150.66,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"}]}]},{"description":"UROL CUT BALL 28F A2189","code_information":[{"code":"70554655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.82,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.82,"methodology":"fee schedule"}]}]},{"description":"UROL CUT KNIFE 28F A219395","code_information":[{"code":"70554660","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":287.82,"maximum":506.35,"gross_charge":533,"discounted_cash":363.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":426.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":287.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":479.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":362.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.12,"methodology":"fee schedule"}]}]},{"description":"UROL CUT KNIFE 28F A219395","code_information":[{"code":"70554660","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":173.5,"maximum":506.35,"gross_charge":533,"discounted_cash":363.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":426.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":479.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":173.5,"methodology":"fee schedule"}]}]},{"description":"UROL CUT ROLLER 24F A2158","code_information":[{"code":"70554670","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":154.98,"maximum":272.65,"gross_charge":287,"discounted_cash":195.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.68,"methodology":"fee schedule"}]}]},{"description":"UROL CUT ROLLER 24F A2158","code_information":[{"code":"70554670","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":93.42,"maximum":272.65,"gross_charge":287,"discounted_cash":195.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":93.42,"methodology":"fee schedule"}]}]},{"description":"UROL ELECT HF OVAL(WA22566S)","code_information":[{"code":"70554674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1092.96,"maximum":1922.8,"gross_charge":2024,"discounted_cash":1378.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1720.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1821.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1376.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1295.36,"methodology":"fee schedule"}]}]},{"description":"UROL ELECT HF OVAL(WA22566S)","code_information":[{"code":"70554674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":658.82,"maximum":1922.8,"gross_charge":2024,"discounted_cash":1378.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1720.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1821.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":809.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1922.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":769.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":658.82,"methodology":"fee schedule"}]}]},{"description":"UROL ELECT HF RESEC BTTN 24-28","code_information":[{"code":"70554675","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":922.32,"maximum":1622.6,"gross_charge":1708,"discounted_cash":1163.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":922.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1451.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1093.12,"methodology":"fee schedule"}]}]},{"description":"UROL ELECT HF RESEC BTTN 24-28","code_information":[{"code":"70554675","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":555.96,"maximum":1622.6,"gross_charge":1708,"discounted_cash":1163.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":956.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1451.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":683.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":649.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":555.96,"methodology":"fee schedule"}]}]},{"description":"DERMA GRAFT II 1.5 TO 1","code_information":[{"code":"70554685","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":149.04,"maximum":262.2,"gross_charge":276,"discounted_cash":188.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":248.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":176.64,"methodology":"fee schedule"}]}]},{"description":"DERMA GRAFT II 1.5 TO 1","code_information":[{"code":"70554685","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.84,"maximum":262.2,"gross_charge":276,"discounted_cash":188.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":248.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":89.84,"methodology":"fee schedule"}]}]},{"description":"DRAIN GB BILIARY/T-TUBE","code_information":[{"code":"70554700","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":126.9,"maximum":223.25,"gross_charge":235,"discounted_cash":160.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":211.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"}]}]},{"description":"DRAIN GB BILIARY/T-TUBE","code_information":[{"code":"70554700","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":76.5,"maximum":223.25,"gross_charge":235,"discounted_cash":160.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":188,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":211.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"}]}]},{"description":"DRAIN JP ROUND SIL SU130132","code_information":[{"code":"70554715","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.32,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":107.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.12,"methodology":"fee schedule"}]}]},{"description":"DRAIN JP ROUND SIL SU130132","code_information":[{"code":"70554715","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.43,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.43,"methodology":"fee schedule"}]}]},{"description":"STRYKR ARTHROS CUTTER-MINI","code_information":[{"code":"70554895","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":273.78,"maximum":481.65,"gross_charge":507,"discounted_cash":345.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":405.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":273.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":456.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":344.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.48,"methodology":"fee schedule"}]}]},{"description":"STRYKR ARTHROS CUTTER-MINI","code_information":[{"code":"70554895","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":165.03,"maximum":481.65,"gross_charge":507,"discounted_cash":345.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":405.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":430.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":456.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":165.03,"methodology":"fee schedule"}]}]},{"description":"STRYKR ARTH AGRES 5.5 CUTTR","code_information":[{"code":"70554910","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":75.06,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.96,"methodology":"fee schedule"}]}]},{"description":"STRYKR ARTH AGRES 5.5 CUTTR","code_information":[{"code":"70554910","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.25,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":45.25,"methodology":"fee schedule"}]}]},{"description":"UA ELET-HYDR LITH PRB 9F-3F","code_information":[{"code":"70554930","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":585.9,"maximum":1030.75,"gross_charge":1085,"discounted_cash":739.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":868,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":922.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":976.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":737.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":694.4,"methodology":"fee schedule"}]}]},{"description":"UA ELET-HYDR LITH PRB 9F-3F","code_information":[{"code":"70554930","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":353.17,"maximum":1030.75,"gross_charge":1085,"discounted_cash":739.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":868,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":607.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":922.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":976.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":434,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":353.17,"methodology":"fee schedule"}]}]},{"description":"ENDO ECHELON RELD 45(ECR45W/B)","code_information":[{"code":"70554935","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":259.74,"maximum":456.95,"gross_charge":481,"discounted_cash":327.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":384.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":408.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":432.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":327.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.84,"methodology":"fee schedule"}]}]},{"description":"ENDO ECHELON RELD 45(ECR45W/B)","code_information":[{"code":"70554935","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.57,"maximum":456.95,"gross_charge":481,"discounted_cash":327.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":384.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":269.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":408.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":432.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":456.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":156.57,"methodology":"fee schedule"}]}]},{"description":"ENDO INZII RTRVL (CD004)","code_information":[{"code":"70554939","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":249.48,"maximum":438.9,"gross_charge":462,"discounted_cash":314.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":392.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":415.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":314.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":295.68,"methodology":"fee schedule"}]}]},{"description":"ENDO INZII RTRVL (CD004)","code_information":[{"code":"70554939","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":150.39,"maximum":438.9,"gross_charge":462,"discounted_cash":314.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":258.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":392.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":415.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":184.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":150.39,"methodology":"fee schedule"}]}]},{"description":"ENDO BABCOCK 10MM SHFT BB10","code_information":[{"code":"70554940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":296.46,"maximum":521.55,"gross_charge":549,"discounted_cash":374.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":439.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":466.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":494.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":373.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.36,"methodology":"fee schedule"}]}]},{"description":"ENDO BABCOCK 10MM SHFT BB10","code_information":[{"code":"70554940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":178.7,"maximum":521.55,"gross_charge":549,"discounted_cash":374.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":439.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":466.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":494.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":219.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":178.7,"methodology":"fee schedule"}]}]},{"description":"HARM SCLP COAG SHEAR(LC5C5)","code_information":[{"code":"70554955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":662.04,"maximum":1164.7,"gross_charge":1226,"discounted_cash":835.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":662.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":833.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":784.64,"methodology":"fee schedule"}]}]},{"description":"HARM SCLP COAG SHEAR(LC5C5)","code_information":[{"code":"70554955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":399.07,"maximum":1164.7,"gross_charge":1226,"discounted_cash":835.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":686.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":490.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":465.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":399.07,"methodology":"fee schedule"}]}]},{"description":"HARM SCLP CURVD SHEAR (FCS9)","code_information":[{"code":"70554957","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":943.38,"maximum":1659.65,"gross_charge":1747,"discounted_cash":1190.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1397.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":943.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1572.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1187.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1118.08,"methodology":"fee schedule"}]}]},{"description":"HARM SCLP CURVD SHEAR (FCS9)","code_information":[{"code":"70554957","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":568.65,"maximum":1659.65,"gross_charge":1747,"discounted_cash":1190.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1397.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":978.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1572.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":698.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":663.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":568.65,"methodology":"fee schedule"}]}]},{"description":"ENDO IRRIG KT PUMP(0026870)","code_information":[{"code":"70554963","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":111.24,"maximum":195.7,"gross_charge":206,"discounted_cash":140.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":164.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":175.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":185.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.84,"methodology":"fee schedule"}]}]},{"description":"ENDO IRRIG KT PUMP(0026870)","code_information":[{"code":"70554963","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":67.06,"maximum":195.7,"gross_charge":206,"discounted_cash":140.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":164.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":175.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":185.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":82.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":67.06,"methodology":"fee schedule"}]}]},{"description":"ENDO DISSECTOR BALLOON","code_information":[{"code":"70554964","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":147.42,"maximum":259.35,"gross_charge":273,"discounted_cash":185.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":218.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":245.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":185.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"}]}]},{"description":"ENDO DISSECTOR BALLOON","code_information":[{"code":"70554964","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.87,"maximum":259.35,"gross_charge":273,"discounted_cash":185.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":218.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":245.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":109.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":88.87,"methodology":"fee schedule"}]}]},{"description":"SURGIFLEX TB IRRG 007500","code_information":[{"code":"70554969","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":240.3,"maximum":422.75,"gross_charge":445,"discounted_cash":303.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":240.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":378.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":400.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":302.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":284.8,"methodology":"fee schedule"}]}]},{"description":"SURGIFLEX TB IRRG 007500","code_information":[{"code":"70554969","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":144.85,"maximum":422.75,"gross_charge":445,"discounted_cash":303.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":378.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":400.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":144.85,"methodology":"fee schedule"}]}]},{"description":"TISSEEL FRZ KT (1501262)","code_information":[{"code":"70554997","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":358.56,"maximum":630.8,"gross_charge":664,"discounted_cash":452.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":531.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":358.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":564.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":597.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":451.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.96,"methodology":"fee schedule"}]}]},{"description":"TISSEEL FRZ KT (1501262)","code_information":[{"code":"70554997","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":216.14,"maximum":630.8,"gross_charge":664,"discounted_cash":452.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":531.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":371.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":564.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":597.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":265.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":252.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":216.14,"methodology":"fee schedule"}]}]},{"description":"DEVICE UT KT ENDOMET(NS2013US)","code_information":[{"code":"70555021","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":2054.16,"maximum":3613.8,"gross_charge":3804,"discounted_cash":2591.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3043.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2054.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3233.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3423.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2434.56,"methodology":"fee schedule"}]}]},{"description":"DEVICE UT KT ENDOMET(NS2013US)","code_information":[{"code":"70555021","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":1238.21,"maximum":3613.8,"gross_charge":3804,"discounted_cash":2591.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3043.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2130.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3233.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3423.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1521.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3613.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1445.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1238.21,"methodology":"fee schedule"}]}]},{"description":"DEVICE DRG DLV EVCLSPRY(39215","code_information":[{"code":"70555022","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":454.68,"maximum":799.9,"gross_charge":842,"discounted_cash":573.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":673.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":454.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":715.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":757.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":572.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":538.88,"methodology":"fee schedule"}]}]},{"description":"DEVICE DRG DLV EVCLSPRY(39215","code_information":[{"code":"70555022","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":274.08,"maximum":799.9,"gross_charge":842,"discounted_cash":573.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":673.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":471.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":715.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":757.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":336.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":799.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":319.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":274.08,"methodology":"fee schedule"}]}]},{"description":"ENDO LIGATING LOOP EL20L","code_information":[{"code":"70555030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":114.48,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":144.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.68,"methodology":"fee schedule"}]}]},{"description":"ENDO LIGATING LOOP EL20L","code_information":[{"code":"70555030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":69.01,"maximum":201.4,"gross_charge":212,"discounted_cash":144.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":180.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":190.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.01,"methodology":"fee schedule"}]}]},{"description":"ENDO LIN STAPLER ARTIC 35W","code_information":[{"code":"70555035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":497.34,"maximum":874.95,"gross_charge":921,"discounted_cash":627.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":736.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":497.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":782.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":828.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":626.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":589.44,"methodology":"fee schedule"}]}]},{"description":"ENDO LIN STAPLER ARTIC 35W","code_information":[{"code":"70555035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":299.79,"maximum":874.95,"gross_charge":921,"discounted_cash":627.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":736.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":515.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":782.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":828.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":368.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":874.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":349.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":299.79,"methodology":"fee schedule"}]}]},{"description":"ENDO PORT CLOSE (CT1-512N)","code_information":[{"code":"70555051","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":267.84,"maximum":471.2,"gross_charge":496,"discounted_cash":337.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":267.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":446.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":337.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":317.44,"methodology":"fee schedule"}]}]},{"description":"ENDO PORT CLOSE (CT1-512N)","code_information":[{"code":"70555051","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":161.45,"maximum":471.2,"gross_charge":496,"discounted_cash":337.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":396.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":446.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":198.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":471.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":161.45,"methodology":"fee schedule"}]}]},{"description":"ENDOCLIP APPLIER LIG (176657)","code_information":[{"code":"70555060","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":699.3,"maximum":1230.25,"gross_charge":1295,"discounted_cash":882.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1036,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":699.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":880.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":828.8,"methodology":"fee schedule"}]}]},{"description":"ENDOCLIP APPLIER LIG (176657)","code_information":[{"code":"70555060","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":421.53,"maximum":1230.25,"gross_charge":1295,"discounted_cash":882.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1036,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":518,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":421.53,"methodology":"fee schedule"}]}]},{"description":"ENDO CLIP APPLIER LIG(EL5ML)","code_information":[{"code":"70555065","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":308.34,"maximum":542.45,"gross_charge":571,"discounted_cash":388.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":485.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":365.44,"methodology":"fee schedule"}]}]},{"description":"ENDO CLIP APPLIER LIG(EL5ML)","code_information":[{"code":"70555065","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":185.87,"maximum":542.45,"gross_charge":571,"discounted_cash":388.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":319.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":485.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":228.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":185.87,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRCT FAN (176647)","code_information":[{"code":"70555078","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":746.82,"maximum":1313.85,"gross_charge":1383,"discounted_cash":942.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1244.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":940.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":885.12,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRCT FAN (176647)","code_information":[{"code":"70555078","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":450.17,"maximum":1313.85,"gross_charge":1383,"discounted_cash":942.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1244.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":553.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":525.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":450.17,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRV POLYP 3X6CM NET","code_information":[{"code":"70555079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":233.82,"maximum":411.35,"gross_charge":433,"discounted_cash":294.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":346.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":233.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":277.12,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRV POLYP 3X6CM NET","code_information":[{"code":"70555079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":140.95,"maximum":411.35,"gross_charge":433,"discounted_cash":294.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":346.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":368.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":389.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":173.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":140.95,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRACTOR 176613 AS","code_information":[{"code":"70555080","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":566.46,"maximum":996.55,"gross_charge":1049,"discounted_cash":714.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":839.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":566.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":891.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":944.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":713.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":671.36,"methodology":"fee schedule"}]}]},{"description":"ENDO RETRACTOR 176613 AS","code_information":[{"code":"70555080","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":341.45,"maximum":996.55,"gross_charge":1049,"discounted_cash":714.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":839.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":587.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":891.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":944.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":419.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":996.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":398.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":341.45,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL REPL F/NM (MAJ71)","code_information":[{"code":"70555081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":168.48,"maximum":296.4,"gross_charge":312,"discounted_cash":212.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL REPL F/NM (MAJ71)","code_information":[{"code":"70555081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":101.56,"maximum":296.4,"gross_charge":312,"discounted_cash":212.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":265.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":101.56,"methodology":"fee schedule"}]}]},{"description":"ENDO VALVE AIR WTR (MH-438)","code_information":[{"code":"70555084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":187.92,"maximum":330.6,"gross_charge":348,"discounted_cash":237.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":295.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":236.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.72,"methodology":"fee schedule"}]}]},{"description":"ENDO VALVE AIR WTR (MH-438)","code_information":[{"code":"70555084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":113.28,"maximum":330.6,"gross_charge":348,"discounted_cash":237.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":295.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":330.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"}]}]},{"description":"HARM SCPL SHRP HK10CM-SH105","code_information":[{"code":"70555090","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":448.74,"maximum":789.45,"gross_charge":831,"discounted_cash":566.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":664.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":448.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":706.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":747.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":565.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":531.84,"methodology":"fee schedule"}]}]},{"description":"HARM SCPL SHRP HK10CM-SH105","code_information":[{"code":"70555090","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":270.5,"maximum":789.45,"gross_charge":831,"discounted_cash":566.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":664.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":465.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":706.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":747.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":332.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":789.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":315.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":270.5,"methodology":"fee schedule"}]}]},{"description":"ENDO DYE MARKER (GID-45)","code_information":[{"code":"70555102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":104.76,"maximum":184.3,"gross_charge":194,"discounted_cash":132.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":155.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":174.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":131.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.16,"methodology":"fee schedule"}]}]},{"description":"ENDO DYE MARKER (GID-45)","code_information":[{"code":"70555102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.15,"maximum":184.3,"gross_charge":194,"discounted_cash":132.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":155.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":174.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":63.15,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR(CFF-CTF-CTB-CFB-COQ","code_information":[{"code":"70555103","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47.52,"maximum":83.6,"gross_charge":88,"discounted_cash":59.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.32,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR(CFF-CTF-CTB-CFB-COQ","code_information":[{"code":"70555103","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.65,"maximum":83.6,"gross_charge":88,"discounted_cash":59.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.65,"methodology":"fee schedule"}]}]},{"description":"ENDO TROCAR 12MM (B12LP) SMOTH","code_information":[{"code":"70555104","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":132.3,"maximum":232.75,"gross_charge":245,"discounted_cash":166.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":208.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":220.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"}]}]},{"description":"ENDO TROCAR 12MM (B12LP) SMOTH","code_information":[{"code":"70555104","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":79.75,"maximum":232.75,"gross_charge":245,"discounted_cash":166.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":196,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":208.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":220.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":98,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":79.75,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR (CFF-CTB-CTF-COR)","code_information":[{"code":"70555106","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":68.04,"maximum":119.7,"gross_charge":126,"discounted_cash":85.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":113.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR (CFF-CTB-CTF-COR)","code_information":[{"code":"70555106","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.02,"maximum":119.7,"gross_charge":126,"discounted_cash":85.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":113.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":41.02,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR KIT OPT ACC(COR37)","code_information":[{"code":"70555107","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":136.08,"maximum":239.4,"gross_charge":252,"discounted_cash":171.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":136.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":226.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"}]}]},{"description":"ENDO TRCR KIT OPT ACC(COR37)","code_information":[{"code":"70555107","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":82.03,"maximum":239.4,"gross_charge":252,"discounted_cash":171.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":226.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":82.03,"methodology":"fee schedule"}]}]},{"description":"ENDO VERSASTEP 5MM","code_information":[{"code":"70555110","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":134.46,"maximum":236.55,"gross_charge":249,"discounted_cash":169.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":199.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"}]}]},{"description":"ENDO VERSASTEP 5MM","code_information":[{"code":"70555110","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":81.05,"maximum":236.55,"gross_charge":249,"discounted_cash":169.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":199.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.05,"methodology":"fee schedule"}]}]},{"description":"ENDOCLIP LIGAMAX 10MM (176657","code_information":[{"code":"70555140","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":160.92,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.72,"methodology":"fee schedule"}]}]},{"description":"ENDOCLIP LIGAMAX 10MM (176657","code_information":[{"code":"70555140","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":97,"maximum":283.1,"gross_charge":298,"discounted_cash":203.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":253.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":268.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97,"methodology":"fee schedule"}]}]},{"description":"ENDO LIGASURE SEAL DIV CRV SMJ","code_information":[{"code":"70555141","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":874.8,"maximum":1539,"gross_charge":1620,"discounted_cash":1103.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":874.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1458,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1101.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1036.8,"methodology":"fee schedule"}]}]},{"description":"ENDO LIGASURE SEAL DIV CRV SMJ","code_information":[{"code":"70555141","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":527.31,"maximum":1539,"gross_charge":1620,"discounted_cash":1103.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":907.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1377,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1458,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":527.31,"methodology":"fee schedule"}]}]},{"description":"ENDO HEMSTAS DEV CLIP FIX","code_information":[{"code":"70555143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.82,"maximum":173.85,"gross_charge":183,"discounted_cash":124.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":146.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":155.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":164.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":124.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"}]}]},{"description":"ENDO HEMSTAS DEV CLIP FIX","code_information":[{"code":"70555143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.57,"maximum":173.85,"gross_charge":183,"discounted_cash":124.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":146.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":155.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":164.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":59.57,"methodology":"fee schedule"}]}]},{"description":"OPTH LACRIMAL BALLOON CATH","code_information":[{"code":"70555162","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":713.88,"maximum":1255.9,"gross_charge":1322,"discounted_cash":900.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":713.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1189.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":898.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":846.08,"methodology":"fee schedule"}]}]},{"description":"OPTH LACRIMAL BALLOON CATH","code_information":[{"code":"70555162","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":430.32,"maximum":1255.9,"gross_charge":1322,"discounted_cash":900.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":740.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1189.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":528.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":502.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":430.32,"methodology":"fee schedule"}]}]},{"description":"OPTH INFLTN DEVICE F/BALL C","code_information":[{"code":"70555163","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":179.82,"maximum":316.35,"gross_charge":333,"discounted_cash":226.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":266.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":179.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":283.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":299.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":226.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.12,"methodology":"fee schedule"}]}]},{"description":"OPTH INFLTN DEVICE F/BALL C","code_information":[{"code":"70555163","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":108.4,"maximum":316.35,"gross_charge":333,"discounted_cash":226.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":266.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":186.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":283.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":299.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":108.4,"methodology":"fee schedule"}]}]},{"description":"ENT LASER C02","code_information":[{"code":"70555164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":206.82,"maximum":363.85,"gross_charge":383,"discounted_cash":260.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":306.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":206.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":325.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":344.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":260.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":245.12,"methodology":"fee schedule"}]}]},{"description":"ENT LASER C02","code_information":[{"code":"70555164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.67,"maximum":363.85,"gross_charge":383,"discounted_cash":260.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":306.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":325.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":344.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":363.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":124.67,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP - ALL","code_information":[{"code":"70555175","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1193.4,"maximum":2099.5,"gross_charge":2210,"discounted_cash":1505.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1768,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1193.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1989,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1414.4,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP - ALL","code_information":[{"code":"70555175","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":719.36,"maximum":2099.5,"gross_charge":2210,"discounted_cash":1505.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1768,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1237.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1989,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":884,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2099.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":839.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":719.36,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP 0570","code_information":[{"code":"70555180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":984.96,"maximum":1732.8,"gross_charge":1824,"discounted_cash":1242.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":984.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1240.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1167.36,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP 0570","code_information":[{"code":"70555180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":593.72,"maximum":1732.8,"gross_charge":1824,"discounted_cash":1242.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1021.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1550.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1641.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":729.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":693.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":593.72,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A TORP 0520","code_information":[{"code":"70555185","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1220.4,"maximum":2147,"gross_charge":2260,"discounted_cash":1539.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1808,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1921,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2034,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1536.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1446.4,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A TORP 0520","code_information":[{"code":"70555185","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":735.63,"maximum":2147,"gross_charge":2260,"discounted_cash":1539.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1808,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1921,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2034,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":904,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2147,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":858.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":735.63,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP 0526","code_information":[{"code":"70555190","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1033.02,"maximum":1817.35,"gross_charge":1913,"discounted_cash":1303.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1530.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1721.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1300.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1224.32,"methodology":"fee schedule"}]}]},{"description":"ENT FLEX H/A PORP 0526","code_information":[{"code":"70555190","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":622.69,"maximum":1817.35,"gross_charge":1913,"discounted_cash":1303.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1530.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1071.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1721.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":765.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1817.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":726.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":622.69,"methodology":"fee schedule"}]}]},{"description":"ENT THYROPLASTY MEASURE KIT","code_information":[{"code":"70555197","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":293.76,"maximum":516.8,"gross_charge":544,"discounted_cash":370.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":369.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.16,"methodology":"fee schedule"}]}]},{"description":"ENT THYROPLASTY MEASURE KIT","code_information":[{"code":"70555197","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":177.08,"maximum":516.8,"gross_charge":544,"discounted_cash":370.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":435.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":462.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":177.08,"methodology":"fee schedule"}]}]},{"description":"ENT IMPLANT THYROPLASTY","code_information":[{"code":"70555198","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1118.34,"maximum":1967.45,"gross_charge":2071,"discounted_cash":1410.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1118.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1325.44,"methodology":"fee schedule"}]}]},{"description":"ENT IMPLANT THYROPLASTY","code_information":[{"code":"70555198","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":674.12,"maximum":1967.45,"gross_charge":2071,"discounted_cash":1410.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":786.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":674.12,"methodology":"fee schedule"}]}]},{"description":"ENT INCUS NECROSIS 0578MK","code_information":[{"code":"70555200","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1027.08,"maximum":1806.9,"gross_charge":1902,"discounted_cash":1295.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1521.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1616.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1293.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1217.28,"methodology":"fee schedule"}]}]},{"description":"ENT INCUS NECROSIS 0578MK","code_information":[{"code":"70555200","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":619.11,"maximum":1806.9,"gross_charge":1902,"discounted_cash":1295.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1521.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1616.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1711.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":760.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":722.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":619.11,"methodology":"fee schedule"}]}]},{"description":"ENT PROSTES HYDX RND (1112085)","code_information":[{"code":"70555205","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":605.34,"maximum":1064.95,"gross_charge":1121,"discounted_cash":763.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":605.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":952.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":762.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":717.44,"methodology":"fee schedule"}]}]},{"description":"ENT PROSTES HYDX RND (1112085)","code_information":[{"code":"70555205","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":364.89,"maximum":1064.95,"gross_charge":1121,"discounted_cash":763.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":627.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":952.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":425.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":364.89,"methodology":"fee schedule"}]}]},{"description":"ENT SCHURING OSSICLE RCHD","code_information":[{"code":"70555215","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":355.32,"maximum":625.1,"gross_charge":658,"discounted_cash":448.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":355.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":559.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":447.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"}]}]},{"description":"ENT SCHURING OSSICLE RCHD","code_information":[{"code":"70555215","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":214.18,"maximum":625.1,"gross_charge":658,"discounted_cash":448.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":368.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":559.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":263.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":214.18,"methodology":"fee schedule"}]}]},{"description":"ENT SHEETNG 500-1 SILASTIC","code_information":[{"code":"70555230","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":237.6,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.6,"methodology":"fee schedule"}]}]},{"description":"ENT SHEETNG 500-1 SILASTIC","code_information":[{"code":"70555230","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":143.22,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":143.22,"methodology":"fee schedule"}]}]},{"description":"ENT IMPLANT MED POR (ALL)","code_information":[{"code":"70555242","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1112.4,"maximum":1957,"gross_charge":2060,"discounted_cash":1403.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1751,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1854,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1400.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1318.4,"methodology":"fee schedule"}]}]},{"description":"ENT IMPLANT MED POR (ALL)","code_information":[{"code":"70555242","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":670.53,"maximum":1957,"gross_charge":2060,"discounted_cash":1403.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1648,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1751,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1854,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":824,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1957,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":782.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":670.53,"methodology":"fee schedule"}]}]},{"description":"ENT SINUS STENT-RN/FN 7089-","code_information":[{"code":"70555245","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":154.44,"maximum":271.7,"gross_charge":286,"discounted_cash":194.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":257.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.04,"methodology":"fee schedule"}]}]},{"description":"ENT SINUS STENT-RN/FN 7089-","code_information":[{"code":"70555245","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":93.1,"maximum":271.7,"gross_charge":286,"discounted_cash":194.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":257.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"}]}]},{"description":"ENT WIRE SCHKNCHT PSTN ALL","code_information":[{"code":"70555260","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":244.62,"maximum":430.35,"gross_charge":453,"discounted_cash":308.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":362.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":244.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":385.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":407.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":308.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.92,"methodology":"fee schedule"}]}]},{"description":"ENT WIRE SCHKNCHT PSTN ALL","code_information":[{"code":"70555260","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":147.46,"maximum":430.35,"gross_charge":453,"discounted_cash":308.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":362.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":253.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":385.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":407.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":181.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":430.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":147.46,"methodology":"fee schedule"}]}]},{"description":"ENT WIRE CUTTING SCISSORS","code_information":[{"code":"70555261","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":27.54,"maximum":48.45,"gross_charge":51,"discounted_cash":34.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":43.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"}]}]},{"description":"ENT WIRE CUTTING SCISSORS","code_information":[{"code":"70555261","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":16.61,"maximum":48.45,"gross_charge":51,"discounted_cash":34.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":43.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":16.61,"methodology":"fee schedule"}]}]},{"description":"ENT SMART PRISTON - ALL","code_information":[{"code":"70555271","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":746.82,"maximum":1313.85,"gross_charge":1383,"discounted_cash":942.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1244.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":940.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":885.12,"methodology":"fee schedule"}]}]},{"description":"ENT SMART PRISTON - ALL","code_information":[{"code":"70555271","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":450.17,"maximum":1313.85,"gross_charge":1383,"discounted_cash":942.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":774.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1244.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":553.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":525.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":450.17,"methodology":"fee schedule"}]}]},{"description":"UROL AMPLATZ RENAL DILATOR","code_information":[{"code":"70555300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":468.18,"maximum":823.65,"gross_charge":867,"discounted_cash":590.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":693.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":468.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":736.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":589.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":554.88,"methodology":"fee schedule"}]}]},{"description":"UROL AMPLATZ RENAL DILATOR","code_information":[{"code":"70555300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":282.21,"maximum":823.65,"gross_charge":867,"discounted_cash":590.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":693.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":485.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":736.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":346.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":823.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":282.21,"methodology":"fee schedule"}]}]},{"description":"VASC FELT TELFON PLEDGETS","code_information":[{"code":"70555304","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":89.1,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"}]}]},{"description":"VASC FELT TELFON PLEDGETS","code_information":[{"code":"70555304","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":53.71,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.71,"methodology":"fee schedule"}]}]},{"description":"ENDO GASTROSCOPY CYTO BRUS","code_information":[{"code":"70555325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":170.1,"maximum":299.25,"gross_charge":315,"discounted_cash":214.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":170.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":267.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"}]}]},{"description":"ENDO GASTROSCOPY CYTO BRUS","code_information":[{"code":"70555325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":102.54,"maximum":299.25,"gross_charge":315,"discounted_cash":214.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":267.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":102.54,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL INSUF LAPSCP(8302.15)","code_information":[{"code":"70555326","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":226.26,"maximum":398.05,"gross_charge":419,"discounted_cash":285.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":335.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":356.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":377.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":284.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":268.16,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL INSUF LAPSCP(8302.15)","code_information":[{"code":"70555326","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":136.39,"maximum":398.05,"gross_charge":419,"discounted_cash":285.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":335.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":234.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":356.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":377.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":167.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":398.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":136.39,"methodology":"fee schedule"}]}]},{"description":"ENDO VALVE SUC GASTSCP(MH-443","code_information":[{"code":"70555328","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":164.7,"maximum":289.75,"gross_charge":305,"discounted_cash":207.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":164.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":259.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":274.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":207.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":195.2,"methodology":"fee schedule"}]}]},{"description":"ENDO VALVE SUC GASTSCP(MH-443","code_information":[{"code":"70555328","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.28,"maximum":289.75,"gross_charge":305,"discounted_cash":207.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":170.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":259.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":274.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":99.28,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL INJ DISP 20G X 5MM","code_information":[{"code":"70555329","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":74.52,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"}]}]},{"description":"ENDO NDL INJ DISP 20G X 5MM","code_information":[{"code":"70555329","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.92,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.92,"methodology":"fee schedule"}]}]},{"description":"ENDO GASTRO SCLERAL NDLE","code_information":[{"code":"70555330","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":180.36,"maximum":317.3,"gross_charge":334,"discounted_cash":227.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":267.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":180.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":283.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":300.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":227.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.76,"methodology":"fee schedule"}]}]},{"description":"ENDO GASTRO SCLERAL NDLE","code_information":[{"code":"70555330","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":108.72,"maximum":317.3,"gross_charge":334,"discounted_cash":227.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":267.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":283.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":300.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":317.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":108.72,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY PEG KIT","code_information":[{"code":"70555335","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":169.02,"maximum":297.35,"gross_charge":313,"discounted_cash":213.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":250.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":266.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":281.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.32,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY PEG KIT","code_information":[{"code":"70555335","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":101.89,"maximum":297.35,"gross_charge":313,"discounted_cash":213.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":250.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":266.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":281.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":125.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":101.89,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY BUTTON","code_information":[{"code":"70555337","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":240.84,"maximum":423.7,"gross_charge":446,"discounted_cash":303.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":240.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":401.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.44,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY BUTTON","code_information":[{"code":"70555337","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":145.18,"maximum":423.7,"gross_charge":446,"discounted_cash":303.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":401.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":145.18,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY TUBE MIC-ALL SZ","code_information":[{"code":"70555340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.46,"maximum":141.55,"gross_charge":149,"discounted_cash":101.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":126.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":134.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.36,"methodology":"fee schedule"}]}]},{"description":"GASTROSTOMY TUBE MIC-ALL SZ","code_information":[{"code":"70555340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.5,"maximum":141.55,"gross_charge":149,"discounted_cash":101.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":126.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":134.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GF WVN STRGHT-DBL","code_information":[{"code":"70555360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1004.94,"maximum":1767.95,"gross_charge":1861,"discounted_cash":1267.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1191.04,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GF WVN STRGHT-DBL","code_information":[{"code":"70555360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":605.76,"maximum":1767.95,"gross_charge":1861,"discounted_cash":1267.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":744.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":707.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":605.76,"methodology":"fee schedule"}]}]},{"description":"POD DRIL 2.55 (45303155)","code_information":[{"code":"70555362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":534.06,"maximum":939.55,"gross_charge":989,"discounted_cash":673.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":791.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":840.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":890.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":672.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.96,"methodology":"fee schedule"}]}]},{"description":"POD DRIL 2.55 (45303155)","code_information":[{"code":"70555362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":321.92,"maximum":939.55,"gross_charge":989,"discounted_cash":673.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":791.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":553.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":840.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":890.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":395.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":939.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":375.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":321.92,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT COOLEY 20CM","code_information":[{"code":"70555365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1238.22,"maximum":2178.35,"gross_charge":2293,"discounted_cash":1562.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1834.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1238.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1949.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1559.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1467.52,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT COOLEY 20CM","code_information":[{"code":"70555365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":746.38,"maximum":2178.35,"gross_charge":2293,"discounted_cash":1562.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1834.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1284.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1949.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2063.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":917.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2178.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":871.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":746.38,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT COOLEY DBL","code_information":[{"code":"70555370","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1345.68,"maximum":2367.4,"gross_charge":2492,"discounted_cash":1697.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1345.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2118.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1694.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1594.88,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT COOLEY DBL","code_information":[{"code":"70555370","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":811.15,"maximum":2367.4,"gross_charge":2492,"discounted_cash":1697.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2118.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":996.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":946.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":811.15,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GRTX V06070","code_information":[{"code":"70555390","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1272.24,"maximum":2238.2,"gross_charge":2356,"discounted_cash":1605.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1884.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1272.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2120.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1602.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1507.84,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GRTX V06070","code_information":[{"code":"70555390","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":766.88,"maximum":2238.2,"gross_charge":2356,"discounted_cash":1605.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1884.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1319.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2120.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2238.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":895.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":766.88,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GORTEX PTCH","code_information":[{"code":"70555395","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":548.1,"maximum":964.25,"gross_charge":1015,"discounted_cash":691.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":812,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":548.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":862.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":913.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":690.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":649.6,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GORTEX PTCH","code_information":[{"code":"70555395","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":330.39,"maximum":964.25,"gross_charge":1015,"discounted_cash":691.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":812,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":568.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":862.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":913.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":406,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":964.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":330.39,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT IMPR8-8.5-7","code_information":[{"code":"70555400","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1271.7,"maximum":2237.25,"gross_charge":2355,"discounted_cash":1604.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1884,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1271.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2001.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2119.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1601.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1507.2,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT IMPR8-8.5-7","code_information":[{"code":"70555400","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":766.56,"maximum":2237.25,"gross_charge":2355,"discounted_cash":1604.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1884,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2001.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2119.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":942,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2237.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":894.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":766.56,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GORTX REINF","code_information":[{"code":"70555410","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1354.86,"maximum":2383.55,"gross_charge":2509,"discounted_cash":1709.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2007.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1354.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2132.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2258.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1706.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1605.76,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT GORTX REINF","code_information":[{"code":"70555410","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":816.68,"maximum":2383.55,"gross_charge":2509,"discounted_cash":1709.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2007.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1405.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2132.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2258.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1003.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2383.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":953.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":816.68,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT SAUVAGE","code_information":[{"code":"70555415","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1013.58,"maximum":1783.15,"gross_charge":1877,"discounted_cash":1278.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1595.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1689.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1201.28,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT SAUVAGE","code_information":[{"code":"70555415","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":610.97,"maximum":1783.15,"gross_charge":1877,"discounted_cash":1278.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1501.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1051.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1595.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1689.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":750.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1783.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":713.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":610.97,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT ST KNIT","code_information":[{"code":"70555425","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":738.18,"maximum":1298.65,"gross_charge":1367,"discounted_cash":931.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":738.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":929.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":874.88,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GRAFT ST KNIT","code_information":[{"code":"70555425","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":444.96,"maximum":1298.65,"gross_charge":1367,"discounted_cash":931.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":765.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":546.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1298.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":519.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":444.96,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GFTWVN BIFURC-DBL","code_information":[{"code":"70555435","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1008.18,"maximum":1773.65,"gross_charge":1867,"discounted_cash":1271.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1269.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1194.88,"methodology":"fee schedule"}]}]},{"description":"VASC MESH/GFTWVN BIFURC-DBL","code_information":[{"code":"70555435","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":607.71,"maximum":1773.65,"gross_charge":1867,"discounted_cash":1271.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":746.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":709.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":607.71,"methodology":"fee schedule"}]}]},{"description":"VASC HICKMAN CATH","code_information":[{"code":"70555466","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":354.78,"maximum":624.15,"gross_charge":657,"discounted_cash":447.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":354.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":446.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":420.48,"methodology":"fee schedule"}]}]},{"description":"VASC HICKMAN CATH","code_information":[{"code":"70555466","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":213.86,"maximum":624.15,"gross_charge":657,"discounted_cash":447.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":249.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":213.86,"methodology":"fee schedule"}]}]},{"description":"ORTH ALUMINUM HAND LARGE","code_information":[{"code":"70555473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":72.9,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"}]}]},{"description":"ORTH ALUMINUM HAND LARGE","code_information":[{"code":"70555473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":43.95,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.95,"methodology":"fee schedule"}]}]},{"description":"HEMOVAC (LARGE 2510)","code_information":[{"code":"70555475","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":197.1,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.6,"methodology":"fee schedule"}]}]},{"description":"HEMOVAC (LARGE 2510)","code_information":[{"code":"70555475","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":118.81,"maximum":346.75,"gross_charge":365,"discounted_cash":248.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.81,"methodology":"fee schedule"}]}]},{"description":"HEMSTAS DEV CLP LW GI(HS202URB","code_information":[{"code":"70555476","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":341.82,"maximum":601.35,"gross_charge":633,"discounted_cash":431.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":506.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":341.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":538.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":569.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":430.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":405.12,"methodology":"fee schedule"}]}]},{"description":"HEMSTAS DEV CLP LW GI(HS202URB","code_information":[{"code":"70555476","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":206.05,"maximum":601.35,"gross_charge":633,"discounted_cash":431.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":506.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":354.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":538.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":569.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":253.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":206.05,"methodology":"fee schedule"}]}]},{"description":"ENT HEMOVAC MINI SNYDR 2568","code_information":[{"code":"70555485","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":84.78,"maximum":149.15,"gross_charge":157,"discounted_cash":106.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":125.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":133.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":141.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.48,"methodology":"fee schedule"}]}]},{"description":"ENT HEMOVAC MINI SNYDR 2568","code_information":[{"code":"70555485","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.11,"maximum":149.15,"gross_charge":157,"discounted_cash":106.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":125.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":87.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":133.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":141.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":62.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.11,"methodology":"fee schedule"}]}]},{"description":"ENT HEMOVC SM SNYD 31726100","code_information":[{"code":"70555490","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":332.64,"maximum":585.2,"gross_charge":616,"discounted_cash":419.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":554.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.24,"methodology":"fee schedule"}]}]},{"description":"ENT HEMOVC SM SNYD 31726100","code_information":[{"code":"70555490","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":200.51,"maximum":585.2,"gross_charge":616,"discounted_cash":419.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":554.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":234.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":200.51,"methodology":"fee schedule"}]}]},{"description":"HEMOSTATIC-ARISTA (SM0002-USA)","code_information":[{"code":"70555497","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":605.34,"maximum":1064.95,"gross_charge":1121,"discounted_cash":763.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":605.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":952.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":762.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":717.44,"methodology":"fee schedule"}]}]},{"description":"HEMOSTATIC-ARISTA (SM0002-USA)","code_information":[{"code":"70555497","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":364.89,"maximum":1064.95,"gross_charge":1121,"discounted_cash":763.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":627.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":952.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":425.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":364.89,"methodology":"fee schedule"}]}]},{"description":"ORTH STRYKER ACM MIXER","code_information":[{"code":"70555507","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":197.64,"maximum":347.7,"gross_charge":366,"discounted_cash":249.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":311.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":329.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":248.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"}]}]},{"description":"ORTH STRYKER ACM MIXER","code_information":[{"code":"70555507","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":119.14,"maximum":347.7,"gross_charge":366,"discounted_cash":249.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":204.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":311.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":329.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":139.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":119.14,"methodology":"fee schedule"}]}]},{"description":"ORTH CANAL PRESSZR STRYK DISP","code_information":[{"code":"70555514","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":46.98,"maximum":82.65,"gross_charge":87,"discounted_cash":59.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":78.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"}]}]},{"description":"ORTH CANAL PRESSZR STRYK DISP","code_information":[{"code":"70555514","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":28.32,"maximum":82.65,"gross_charge":87,"discounted_cash":59.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":78.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.32,"methodology":"fee schedule"}]}]},{"description":"ORTH STRYK GLENOID ANCH 3MM","code_information":[{"code":"70555517","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":524.34,"maximum":922.45,"gross_charge":971,"discounted_cash":661.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":776.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":524.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":825.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":873.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":660.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":621.44,"methodology":"fee schedule"}]}]},{"description":"ORTH STRYK GLENOID ANCH 3MM","code_information":[{"code":"70555517","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":316.07,"maximum":922.45,"gross_charge":971,"discounted_cash":661.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":776.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":825.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":873.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":922.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":316.07,"methodology":"fee schedule"}]}]},{"description":"ORTH IRRIG.ARTHSCP (CONTNUS)","code_information":[{"code":"70555542","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":153.9,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"}]}]},{"description":"ORTH IRRIG.ARTHSCP (CONTNUS)","code_information":[{"code":"70555542","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.77,"maximum":270.75,"gross_charge":285,"discounted_cash":194.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.77,"methodology":"fee schedule"}]}]},{"description":"ORTH INSERT KIT 2.4MM(AR1934PI","code_information":[{"code":"70555545","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":451.44,"maximum":794.2,"gross_charge":836,"discounted_cash":569.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":668.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":451.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":752.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":568.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":535.04,"methodology":"fee schedule"}]}]},{"description":"ORTH INSERT KIT 2.4MM(AR1934PI","code_information":[{"code":"70555545","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":272.12,"maximum":794.2,"gross_charge":836,"discounted_cash":569.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":668.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":468.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":752.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":794.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":317.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":272.12,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT JAVID","code_information":[{"code":"70555570","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.06,"maximum":274.55,"gross_charge":289,"discounted_cash":196.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":245.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.96,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT JAVID","code_information":[{"code":"70555570","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.07,"maximum":274.55,"gross_charge":289,"discounted_cash":196.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":231.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":245.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":274.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":94.07,"methodology":"fee schedule"}]}]},{"description":"ORTH KNIFE GRFT ACL (232110)","code_information":[{"code":"70555575","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":404.46,"maximum":711.55,"gross_charge":749,"discounted_cash":510.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":599.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":404.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":636.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":674.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":509.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":479.36,"methodology":"fee schedule"}]}]},{"description":"ORTH KNIFE GRFT ACL (232110)","code_information":[{"code":"70555575","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":243.8,"maximum":711.55,"gross_charge":749,"discounted_cash":510.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":599.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":419.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":636.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":674.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":284.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":243.8,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE LFRG TRCR(29226)","code_information":[{"code":"70555579","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":242.46,"maximum":426.55,"gross_charge":449,"discounted_cash":305.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":359.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":242.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":404.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":305.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":287.36,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE LFRG TRCR(29226)","code_information":[{"code":"70555579","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":146.15,"maximum":426.55,"gross_charge":449,"discounted_cash":305.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":359.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":251.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":381.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":404.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":179.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":426.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":146.15,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (ALL)","code_information":[{"code":"70555580","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":32.94,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (ALL)","code_information":[{"code":"70555580","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":19.86,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR14016)","code_information":[{"code":"70555581","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":41.58,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR14016)","code_information":[{"code":"70555581","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":25.07,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR2663)","code_information":[{"code":"70555582","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":62.1,"maximum":109.25,"gross_charge":115,"discounted_cash":78.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":97.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.6,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR2663)","code_information":[{"code":"70555582","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":37.44,"maximum":109.25,"gross_charge":115,"discounted_cash":78.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":97.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.44,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (45719011)","code_information":[{"code":"70555584","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":72.9,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (45719011)","code_information":[{"code":"70555584","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":43.95,"maximum":128.25,"gross_charge":135,"discounted_cash":91.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":114.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":121.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.95,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE W/THRD 292.75","code_information":[{"code":"70555585","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":53.46,"maximum":94.05,"gross_charge":99,"discounted_cash":67.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE W/THRD 292.75","code_information":[{"code":"70555585","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":32.23,"maximum":94.05,"gross_charge":99,"discounted_cash":67.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":84.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.23,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR8610K43)","code_information":[{"code":"70555586","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":59.94,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE (AR8610K43)","code_information":[{"code":"70555586","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":36.14,"maximum":105.45,"gross_charge":111,"discounted_cash":75.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":88.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":36.14,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE DBL T/P292.50/8","code_information":[{"code":"70555590","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":69.12,"maximum":121.6,"gross_charge":128,"discounted_cash":87.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.92,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE DBL T/P292.50/8","code_information":[{"code":"70555590","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":41.67,"maximum":121.6,"gross_charge":128,"discounted_cash":87.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":41.67,"methodology":"fee schedule"}]}]},{"description":"KIT CHOLECYSTECTOMY","code_information":[{"code":"70555595","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":767.34,"maximum":1349.95,"gross_charge":1421,"discounted_cash":968.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":767.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":966.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":909.44,"methodology":"fee schedule"}]}]},{"description":"KIT CHOLECYSTECTOMY","code_information":[{"code":"70555595","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":462.54,"maximum":1349.95,"gross_charge":1421,"discounted_cash":968.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":795.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":568.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":539.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":462.54,"methodology":"fee schedule"}]}]},{"description":"ENT LARYNGTMY TUBE METAL","code_information":[{"code":"70555610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":246.78,"maximum":434.15,"gross_charge":457,"discounted_cash":311.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":365.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":246.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":388.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":411.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":310.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":292.48,"methodology":"fee schedule"}]}]},{"description":"ENT LARYNGTMY TUBE METAL","code_information":[{"code":"70555610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.76,"maximum":434.15,"gross_charge":457,"discounted_cash":311.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":365.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":255.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":388.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":411.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":182.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":148.76,"methodology":"fee schedule"}]}]},{"description":"ENT LARTNGTMY TUBE SILASTIC","code_information":[{"code":"70555611","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":122.58,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.28,"methodology":"fee schedule"}]}]},{"description":"ENT LARTNGTMY TUBE SILASTIC","code_information":[{"code":"70555611","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.89,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.89,"methodology":"fee schedule"}]}]},{"description":"UROL PVP PROSTTCTMY SPPLY","code_information":[{"code":"70555615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":542.16,"maximum":953.8,"gross_charge":1004,"discounted_cash":683.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":803.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":542.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":853.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":903.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":682.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":642.56,"methodology":"fee schedule"}]}]},{"description":"UROL PVP PROSTTCTMY SPPLY","code_information":[{"code":"70555615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":326.81,"maximum":953.8,"gross_charge":1004,"discounted_cash":683.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":803.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":562.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":853.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":903.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":401.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":953.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":381.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":326.81,"methodology":"fee schedule"}]}]},{"description":"UROL LSER WIRE 200/400 MIC","code_information":[{"code":"70555620","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":553.5,"maximum":973.75,"gross_charge":1025,"discounted_cash":698.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":820,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":871.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":922.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":697,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":656,"methodology":"fee schedule"}]}]},{"description":"UROL LSER WIRE 200/400 MIC","code_information":[{"code":"70555620","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":333.64,"maximum":973.75,"gross_charge":1025,"discounted_cash":698.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":820,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":574,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":871.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":922.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":410,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":973.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":333.64,"methodology":"fee schedule"}]}]},{"description":"UROL LASER WIRE 600 MIC","code_information":[{"code":"70555621","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":719.28,"maximum":1265.4,"gross_charge":1332,"discounted_cash":907.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":719.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":905.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":852.48,"methodology":"fee schedule"}]}]},{"description":"UROL LASER WIRE 600 MIC","code_information":[{"code":"70555621","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":433.57,"maximum":1265.4,"gross_charge":1332,"discounted_cash":907.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":745.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":532.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":506.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":433.57,"methodology":"fee schedule"}]}]},{"description":"UROL LASER WIRE 1000 MIC","code_information":[{"code":"70555622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1294.92,"maximum":2278.1,"gross_charge":2398,"discounted_cash":1633.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1918.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1294.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2038.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2158.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1630.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1534.72,"methodology":"fee schedule"}]}]},{"description":"UROL LASER WIRE 1000 MIC","code_information":[{"code":"70555622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":780.55,"maximum":2278.1,"gross_charge":2398,"discounted_cash":1633.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1918.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1342.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2038.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2158.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":959.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":911.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":780.55,"methodology":"fee schedule"}]}]},{"description":"LAVAGE SUC TIP Z5150-50","code_information":[{"code":"70555625","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":105.3,"maximum":185.25,"gross_charge":195,"discounted_cash":132.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":165.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":132.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"}]}]},{"description":"LAVAGE SUC TIP Z5150-50","code_information":[{"code":"70555625","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.48,"maximum":185.25,"gross_charge":195,"discounted_cash":132.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":165.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":63.48,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLES 55 (ETHCN)","code_information":[{"code":"70555635","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":206.28,"maximum":362.9,"gross_charge":382,"discounted_cash":260.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":305.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":206.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":324.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":343.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":259.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":244.48,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLES 55 (ETHCN)","code_information":[{"code":"70555635","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.35,"maximum":362.9,"gross_charge":382,"discounted_cash":260.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":305.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":324.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":343.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":362.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":124.35,"methodology":"fee schedule"}]}]},{"description":"LINR CUTTER GIA LNG (TLC75)","code_information":[{"code":"70555640","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":283.5,"maximum":498.75,"gross_charge":525,"discounted_cash":357.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":446.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"}]}]},{"description":"LINR CUTTER GIA LNG (TLC75)","code_information":[{"code":"70555640","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":170.89,"maximum":498.75,"gross_charge":525,"discounted_cash":357.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":446.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLER 75 (ETHCN)","code_information":[{"code":"70555642","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":308.88,"maximum":543.4,"gross_charge":572,"discounted_cash":389.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":486.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":514.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":366.08,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLER 75 (ETHCN)","code_information":[{"code":"70555642","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":186.19,"maximum":543.4,"gross_charge":572,"discounted_cash":389.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":486.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":514.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":217.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":186.19,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLER 60 (EC60A)","code_information":[{"code":"70555643","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":660.42,"maximum":1161.85,"gross_charge":1223,"discounted_cash":833.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":978.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":660.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":831.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":782.72,"methodology":"fee schedule"}]}]},{"description":"LINEAR STAPLER 60 (EC60A)","code_information":[{"code":"70555643","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":398.09,"maximum":1161.85,"gross_charge":1223,"discounted_cash":833.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":978.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":489.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":464.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":398.09,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSIX (E/X 0123113)","code_information":[{"code":"70555652","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1971,"maximum":3467.5,"gross_charge":3650,"discounted_cash":2486.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2920,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1971,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3102.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2482,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2336,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSIX (E/X 0123113)","code_information":[{"code":"70555652","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1188.08,"maximum":3467.5,"gross_charge":3650,"discounted_cash":2486.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2920,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2044,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3102.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1460,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3467.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1188.08,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSIX (SM OVAL 1201","code_information":[{"code":"70555657","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1067.58,"maximum":1878.15,"gross_charge":1977,"discounted_cash":1346.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1581.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1779.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1344.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1265.28,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSIX (SM OVAL 1201","code_information":[{"code":"70555657","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":643.52,"maximum":1878.15,"gross_charge":1977,"discounted_cash":1346.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1581.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1779.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":790.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1878.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":751.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":643.52,"methodology":"fee schedule"}]}]},{"description":"MESH DUAL 20 X 30/CP07","code_information":[{"code":"70555661","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3532.14,"maximum":6213.95,"gross_charge":6541,"discounted_cash":4456.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3532.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5559.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5886.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4447.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4186.24,"methodology":"fee schedule"}]}]},{"description":"MESH DUAL 20 X 30/CP07","code_information":[{"code":"70555661","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2129.1,"maximum":6213.95,"gross_charge":6541,"discounted_cash":4456.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3662.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5559.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5886.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2616.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":6213.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2485.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2129.1,"methodology":"fee schedule"}]}]},{"description":"MESH DUAL 10 X 15/CP03","code_information":[{"code":"70555662","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1059.48,"maximum":1863.9,"gross_charge":1962,"discounted_cash":1336.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1667.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1765.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1334.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1255.68,"methodology":"fee schedule"}]}]},{"description":"MESH DUAL 10 X 15/CP03","code_information":[{"code":"70555662","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":638.64,"maximum":1863.9,"gross_charge":1962,"discounted_cash":1336.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1667.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1765.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":784.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":745.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":638.64,"methodology":"fee schedule"}]}]},{"description":"MESH WITMANN","code_information":[{"code":"70555667","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2823.12,"maximum":4966.6,"gross_charge":5228,"discounted_cash":3561.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4182.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2823.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4443.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4705.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3555.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3345.92,"methodology":"fee schedule"}]}]},{"description":"MESH WITMANN","code_information":[{"code":"70555667","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1701.72,"maximum":4966.6,"gross_charge":5228,"discounted_cash":3561.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4182.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2927.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4443.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4705.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4966.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1986.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1701.72,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE 9CM PC09","code_information":[{"code":"70555671","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":686.34,"maximum":1207.45,"gross_charge":1271,"discounted_cash":865.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":686.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1080.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":864.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":813.44,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE 9CM PC09","code_information":[{"code":"70555671","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":413.72,"maximum":1207.45,"gross_charge":1271,"discounted_cash":865.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":711.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1080.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":508.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1207.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":482.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":413.72,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKIRT 15X10CM","code_information":[{"code":"70555672","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":986.04,"maximum":1734.7,"gross_charge":1826,"discounted_cash":1243.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":986.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1552.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1168.64,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKIRT 15X10CM","code_information":[{"code":"70555672","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":594.37,"maximum":1734.7,"gross_charge":1826,"discounted_cash":1243.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1460.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1022.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1552.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":730.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1734.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":693.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":594.37,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKIRT 20X15CM","code_information":[{"code":"70555673","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1270.08,"maximum":2234.4,"gross_charge":2352,"discounted_cash":1602.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1270.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2116.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1599.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1505.28,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKIRT 20X15CM","code_information":[{"code":"70555673","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":765.58,"maximum":2234.4,"gross_charge":2352,"discounted_cash":1602.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1317.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2116.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":940.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":893.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":765.58,"methodology":"fee schedule"}]}]},{"description":"MESH STPLR PERMSRB HERN FIXTN","code_information":[{"code":"70555674","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":462.24,"maximum":813.2,"gross_charge":856,"discounted_cash":583.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":684.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":462.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":727.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":770.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":582.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":547.84,"methodology":"fee schedule"}]}]},{"description":"MESH STPLR PERMSRB HERN FIXTN","code_information":[{"code":"70555674","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":278.63,"maximum":813.2,"gross_charge":856,"discounted_cash":583.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":684.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":727.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":770.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":813.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":278.63,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKRT 320X25CM","code_information":[{"code":"70555679","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1810.08,"maximum":3184.4,"gross_charge":3352,"discounted_cash":2283.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2681.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1810.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2849.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3016.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2279.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2145.28,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE W/SKRT 320X25CM","code_information":[{"code":"70555679","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1091.08,"maximum":3184.4,"gross_charge":3352,"discounted_cash":2283.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2681.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2849.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3016.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3184.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1273.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1091.08,"methodology":"fee schedule"}]}]},{"description":"MINERAL OIL","code_information":[{"code":"70555680","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":28.62,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.92,"methodology":"fee schedule"}]}]},{"description":"MINERAL OIL","code_information":[{"code":"70555680","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":17.26,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE 12X8CM L135116","code_information":[{"code":"70555681","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1843.56,"maximum":3243.3,"gross_charge":3414,"discounted_cash":2325.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1843.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2901.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3072.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2321.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2184.96,"methodology":"fee schedule"}]}]},{"description":"MESH COMPOSITE 12X8CM L135116","code_information":[{"code":"70555681","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1111.26,"maximum":3243.3,"gross_charge":3414,"discounted_cash":2325.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1911.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2901.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3072.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1365.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3243.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1297.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1111.26,"methodology":"fee schedule"}]}]},{"description":"MESH PARIETEX PROGRIP 12X8CM","code_information":[{"code":"70555682","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":648,"maximum":1140,"gross_charge":1200,"discounted_cash":817.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":960,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1020,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1080,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":816,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":768,"methodology":"fee schedule"}]}]},{"description":"MESH PARIETEX PROGRIP 12X8CM","code_information":[{"code":"70555682","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":390.6,"maximum":1140,"gross_charge":1200,"discounted_cash":817.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":960,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":672,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1020,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1080,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"}]}]},{"description":"ORTH SEALR AQUMNTY BIPLR 6.0","code_information":[{"code":"70555689","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":962.28,"maximum":1692.9,"gross_charge":1782,"discounted_cash":1213.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1425.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":962.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1514.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1211.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1140.48,"methodology":"fee schedule"}]}]},{"description":"ORTH SEALR AQUMNTY BIPLR 6.0","code_information":[{"code":"70555689","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":580.05,"maximum":1692.9,"gross_charge":1782,"discounted_cash":1213.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1425.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":997.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1514.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":712.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1692.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":677.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":580.05,"methodology":"fee schedule"}]}]},{"description":"ORTH MITEK SPIRALOK (ALL)","code_information":[{"code":"70555691","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":681.48,"maximum":1198.9,"gross_charge":1262,"discounted_cash":859.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":858.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":807.68,"methodology":"fee schedule"}]}]},{"description":"ORTH MITEK SPIRALOK (ALL)","code_information":[{"code":"70555691","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":410.79,"maximum":1198.9,"gross_charge":1262,"discounted_cash":859.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":504.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":479.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":410.79,"methodology":"fee schedule"}]}]},{"description":"ORTH MITEK MINI ANCR 212811","code_information":[{"code":"70555697","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":502.2,"maximum":883.5,"gross_charge":930,"discounted_cash":633.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":744,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":502.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":790.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":837,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":632.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"}]}]},{"description":"ORTH MITEK MINI ANCR 212811","code_information":[{"code":"70555697","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":302.72,"maximum":883.5,"gross_charge":930,"discounted_cash":633.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":744,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":520.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":790.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":837,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":372,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":353.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":302.72,"methodology":"fee schedule"}]}]},{"description":"NAIL FEMORAL (ALL)","code_information":[{"code":"70555700","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2754.54,"maximum":4845.95,"gross_charge":5101,"discounted_cash":3475.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4080.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4335.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4590.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3468.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3264.64,"methodology":"fee schedule"}]}]},{"description":"NAIL FEMORAL (ALL)","code_information":[{"code":"70555700","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1660.38,"maximum":4845.95,"gross_charge":5101,"discounted_cash":3475.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4080.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2856.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4335.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4590.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2040.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4845.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1938.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1660.38,"methodology":"fee schedule"}]}]},{"description":"NAIL HUMERAL 462.9695/462.9712","code_information":[{"code":"70555710","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2840.4,"maximum":4997,"gross_charge":5260,"discounted_cash":3583.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4208,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4471,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4734,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3576.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3366.4,"methodology":"fee schedule"}]}]},{"description":"NAIL HUMERAL 462.9695/462.9712","code_information":[{"code":"70555710","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1712.13,"maximum":4997,"gross_charge":5260,"discounted_cash":3583.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4208,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2945.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4471,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4734,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2104,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4997,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1998.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1712.13,"methodology":"fee schedule"}]}]},{"description":"NAIL H-LOCK SCREW 458.826-860","code_information":[{"code":"70555711","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":389.88,"maximum":685.9,"gross_charge":722,"discounted_cash":491.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":613.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":490.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":462.08,"methodology":"fee schedule"}]}]},{"description":"NAIL H-LOCK SCREW 458.826-860","code_information":[{"code":"70555711","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":235.02,"maximum":685.9,"gross_charge":722,"discounted_cash":491.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":404.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":613.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":288.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":685.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":274.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":235.02,"methodology":"fee schedule"}]}]},{"description":"NAIL H-SPIRAL BLD 462.634-654","code_information":[{"code":"70555712","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":966.06,"maximum":1699.55,"gross_charge":1789,"discounted_cash":1218.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":966.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1520.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1610.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1144.96,"methodology":"fee schedule"}]}]},{"description":"NAIL H-SPIRAL BLD 462.634-654","code_information":[{"code":"70555712","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":582.32,"maximum":1699.55,"gross_charge":1789,"discounted_cash":1218.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1001.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1520.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1610.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":715.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":679.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":582.32,"methodology":"fee schedule"}]}]},{"description":"NAIL TIB SLD 9MM 479-ALL","code_information":[{"code":"70555735","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1858.68,"maximum":3269.9,"gross_charge":3442,"discounted_cash":2344.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2753.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3097.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2340.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2202.88,"methodology":"fee schedule"}]}]},{"description":"NAIL TIB SLD 9MM 479-ALL","code_information":[{"code":"70555735","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1120.38,"maximum":3269.9,"gross_charge":3442,"discounted_cash":2344.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2753.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1927.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2925.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3097.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1376.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3269.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1307.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1120.38,"methodology":"fee schedule"}]}]},{"description":"ENT NAS BREATH-EASY SPLT(2)","code_information":[{"code":"70555740","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":241.92,"maximum":425.6,"gross_charge":448,"discounted_cash":305.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":358.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":241.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":286.72,"methodology":"fee schedule"}]}]},{"description":"ENT NAS BREATH-EASY SPLT(2)","code_information":[{"code":"70555740","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":145.83,"maximum":425.6,"gross_charge":448,"discounted_cash":305.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":358.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":250.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":380.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":179.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":170.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":145.83,"methodology":"fee schedule"}]}]},{"description":"NEEDLE CUTTING REVERSE RHAL","code_information":[{"code":"70555775","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.28,"maximum":77.9,"gross_charge":82,"discounted_cash":55.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"}]}]},{"description":"NEEDLE CUTTING REVERSE RHAL","code_information":[{"code":"70555775","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":26.7,"maximum":77.9,"gross_charge":82,"discounted_cash":55.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":26.7,"methodology":"fee schedule"}]}]},{"description":"NEEDLE ASPIRTN DBL(NA601D1519)","code_information":[{"code":"70555784","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":470.88,"maximum":828.4,"gross_charge":872,"discounted_cash":594.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":697.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":470.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":784.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":592.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":558.08,"methodology":"fee schedule"}]}]},{"description":"NEEDLE ASPIRTN DBL(NA601D1519)","code_information":[{"code":"70555784","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":283.84,"maximum":828.4,"gross_charge":872,"discounted_cash":594.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":697.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":741.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":784.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":348.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":828.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":331.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":283.84,"methodology":"fee schedule"}]}]},{"description":"NDLE SCORPN SURFIRE(AR13991N)","code_information":[{"code":"70555796","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":350.46,"maximum":616.55,"gross_charge":649,"discounted_cash":442.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":519.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":350.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":551.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":584.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":441.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":415.36,"methodology":"fee schedule"}]}]},{"description":"NDLE SCORPN SURFIRE(AR13991N)","code_information":[{"code":"70555796","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":211.25,"maximum":616.55,"gross_charge":649,"discounted_cash":442.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":519.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":363.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":551.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":584.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":259.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":616.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":211.25,"methodology":"fee schedule"}]}]},{"description":"ORTH CLAMP TB-TB MR(390.007)","code_information":[{"code":"70555851","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1216.08,"maximum":2139.4,"gross_charge":2252,"discounted_cash":1534.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1801.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1914.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2026.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1531.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1441.28,"methodology":"fee schedule"}]}]},{"description":"ORTH CLAMP TB-TB MR(390.007)","code_information":[{"code":"70555851","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":733.03,"maximum":2139.4,"gross_charge":2252,"discounted_cash":1534.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1801.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1261.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1914.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2026.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":900.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":855.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":733.03,"methodology":"fee schedule"}]}]},{"description":"ORTH CLAMP ADJ WRE-PIN(393.464","code_information":[{"code":"70555852","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1441.26,"maximum":2535.55,"gross_charge":2669,"discounted_cash":1818.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1441.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2268.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2402.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1814.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1708.16,"methodology":"fee schedule"}]}]},{"description":"ORTH CLAMP ADJ WRE-PIN(393.464","code_information":[{"code":"70555852","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":868.76,"maximum":2535.55,"gross_charge":2669,"discounted_cash":1818.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1494.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2268.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2402.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1014.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":868.76,"methodology":"fee schedule"}]}]},{"description":"ORTH STRIPPER TEND (AR-12786)","code_information":[{"code":"70555865","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1064.34,"maximum":1872.45,"gross_charge":1971,"discounted_cash":1342.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1675.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1261.44,"methodology":"fee schedule"}]}]},{"description":"ORTH STRIPPER TEND (AR-12786)","code_information":[{"code":"70555865","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":641.57,"maximum":1872.45,"gross_charge":1971,"discounted_cash":1342.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1675.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":748.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":641.57,"methodology":"fee schedule"}]}]},{"description":"ORTH CHIA PRECPASSER","code_information":[{"code":"70555868","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":245.7,"maximum":432.25,"gross_charge":455,"discounted_cash":309.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":364,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":245.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":386.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":409.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":309.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.2,"methodology":"fee schedule"}]}]},{"description":"ORTH CHIA PRECPASSER","code_information":[{"code":"70555868","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.11,"maximum":432.25,"gross_charge":455,"discounted_cash":309.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":364,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":254.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":386.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":409.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":148.11,"methodology":"fee schedule"}]}]},{"description":"PACK GYN-LAPROSCOPIC","code_information":[{"code":"70555885","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.82,"maximum":268.85,"gross_charge":283,"discounted_cash":192.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":254.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.12,"methodology":"fee schedule"}]}]},{"description":"PACK GYN-LAPROSCOPIC","code_information":[{"code":"70555885","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.12,"maximum":268.85,"gross_charge":283,"discounted_cash":192.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":158.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":254.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.12,"methodology":"fee schedule"}]}]},{"description":"PACK ORTHO MAJOR","code_information":[{"code":"70555910","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":142.56,"maximum":250.8,"gross_charge":264,"discounted_cash":179.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":224.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.96,"methodology":"fee schedule"}]}]},{"description":"PACK ORTHO MAJOR","code_information":[{"code":"70555910","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.94,"maximum":250.8,"gross_charge":264,"discounted_cash":179.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":224.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.94,"methodology":"fee schedule"}]}]},{"description":"ORTH AUTOGRFT  LNK(AR1588ALCP","code_information":[{"code":"70555923","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1968.3,"maximum":3462.75,"gross_charge":3645,"discounted_cash":2483.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2916,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1968.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3098.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3280.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2478.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2332.8,"methodology":"fee schedule"}]}]},{"description":"ORTH AUTOGRFT  LNK(AR1588ALCP","code_information":[{"code":"70555923","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1186.45,"maximum":3462.75,"gross_charge":3645,"discounted_cash":2483.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2916,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2041.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3098.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3280.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1458,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3462.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1385.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1186.45,"methodology":"fee schedule"}]}]},{"description":"ORTH ABLATR COOL CUT(AR9803A90","code_information":[{"code":"70555925","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":405,"maximum":712.5,"gross_charge":750,"discounted_cash":510.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":405,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":637.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":675,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":510,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"}]}]},{"description":"ORTH ABLATR COOL CUT(AR9803A90","code_information":[{"code":"70555925","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":244.13,"maximum":712.5,"gross_charge":750,"discounted_cash":510.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":420,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":637.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":675,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":300,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":712.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":244.13,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTURE RETRVR (022701)","code_information":[{"code":"70555931","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.4,"maximum":57,"gross_charge":60,"discounted_cash":40.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTURE RETRVR (022701)","code_information":[{"code":"70555931","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.53,"maximum":57,"gross_charge":60,"discounted_cash":40.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.53,"methodology":"fee schedule"}]}]},{"description":"ORTH ROD HYB-FX (393.52)","code_information":[{"code":"70555935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":388.26,"maximum":683.05,"gross_charge":719,"discounted_cash":489.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":575.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":388.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":611.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":647.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":488.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":460.16,"methodology":"fee schedule"}]}]},{"description":"ORTH ROD HYB-FX (393.52)","code_information":[{"code":"70555935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":234.04,"maximum":683.05,"gross_charge":719,"discounted_cash":489.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":575.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":402.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":611.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":647.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":287.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":234.04,"methodology":"fee schedule"}]}]},{"description":"ORTH CAN GDE PIN 1.25 292","code_information":[{"code":"70555940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":103.68,"maximum":182.4,"gross_charge":192,"discounted_cash":130.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":153.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":130.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"}]}]},{"description":"ORTH CAN GDE PIN 1.25 292","code_information":[{"code":"70555940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.5,"maximum":182.4,"gross_charge":192,"discounted_cash":130.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":153.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.5,"methodology":"fee schedule"}]}]},{"description":"ORTH G-WIRE SPDE-1E(292-656)","code_information":[{"code":"70555950","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":103.14,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.24,"methodology":"fee schedule"}]}]},{"description":"ORTH G-WIRE SPDE-1E(292-656)","code_information":[{"code":"70555950","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.18,"maximum":181.45,"gross_charge":191,"discounted_cash":130.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":152.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":162.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":76.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.18,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS GID PIN 338.00","code_information":[{"code":"70555955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":165.24,"maximum":290.7,"gross_charge":306,"discounted_cash":208.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":165.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":208.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS GID PIN 338.00","code_information":[{"code":"70555955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.61,"maximum":290.7,"gross_charge":306,"discounted_cash":208.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":171.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":99.61,"methodology":"fee schedule"}]}]},{"description":"ORTH PIN BTTR MHS1.8401.968.96","code_information":[{"code":"70555962","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":163.08,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":241.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":205.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.28,"methodology":"fee schedule"}]}]},{"description":"ORTH PIN BTTR MHS1.8401.968.96","code_information":[{"code":"70555962","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.31,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":241.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":98.31,"methodology":"fee schedule"}]}]},{"description":"ORTH WIRE SPDE HYB-FX 292.39","code_information":[{"code":"70555963","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":540,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":540,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":680,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":640,"methodology":"fee schedule"}]}]},{"description":"ORTH WIRE SPDE HYB-FX 292.39","code_information":[{"code":"70555963","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":325.5,"maximum":950,"gross_charge":1000,"discounted_cash":681.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":560,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":850,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":900,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":400,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":950,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":325.5,"methodology":"fee schedule"}]}]},{"description":"ORTH G-WIRE TROCR (AR8941K)","code_information":[{"code":"70555967","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":47.52,"maximum":83.6,"gross_charge":88,"discounted_cash":59.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.32,"methodology":"fee schedule"}]}]},{"description":"ORTH G-WIRE TROCR (AR8941K)","code_information":[{"code":"70555967","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":28.65,"maximum":83.6,"gross_charge":88,"discounted_cash":59.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.65,"methodology":"fee schedule"}]}]},{"description":"ORTH GUIDE PIN-CAL Z182-005","code_information":[{"code":"70555970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":160.38,"maximum":282.15,"gross_charge":297,"discounted_cash":202.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.08,"methodology":"fee schedule"}]}]},{"description":"ORTH GUIDE PIN-CAL Z182-005","code_information":[{"code":"70555970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":96.68,"maximum":282.15,"gross_charge":297,"discounted_cash":202.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":96.68,"methodology":"fee schedule"}]}]},{"description":"ORTH GDE PIN KRAN TRACT(ALL","code_information":[{"code":"70555975","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":211.68,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.88,"methodology":"fee schedule"}]}]},{"description":"ORTH GDE PIN KRAN TRACT(ALL","code_information":[{"code":"70555975","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":127.6,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":127.6,"methodology":"fee schedule"}]}]},{"description":"ORTH PINA-BALL HEADLESS PIN","code_information":[{"code":"70555976","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":784.62,"maximum":1380.35,"gross_charge":1453,"discounted_cash":989.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":784.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":988.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":929.92,"methodology":"fee schedule"}]}]},{"description":"ORTH PINA-BALL HEADLESS PIN","code_information":[{"code":"70555976","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":472.96,"maximum":1380.35,"gross_charge":1453,"discounted_cash":989.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":813.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":581.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":552.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":472.96,"methodology":"fee schedule"}]}]},{"description":"ORTH WIRE GUIDE 1.6MM 360.266","code_information":[{"code":"70555977","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":348.3,"maximum":612.75,"gross_charge":645,"discounted_cash":439.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":516,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":548.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":580.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":438.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"}]}]},{"description":"ORTH WIRE GUIDE 1.6MM 360.266","code_information":[{"code":"70555977","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":209.95,"maximum":612.75,"gross_charge":645,"discounted_cash":439.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":516,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":361.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":548.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":580.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":258,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":245.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":209.95,"methodology":"fee schedule"}]}]},{"description":"POD ORTOSORB PIN KT(110010742)","code_information":[{"code":"70555985","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":928.8,"maximum":1634,"gross_charge":1720,"discounted_cash":1171.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1376,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1462,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1548,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1169.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1100.8,"methodology":"fee schedule"}]}]},{"description":"POD ORTOSORB PIN KT(110010742)","code_information":[{"code":"70555985","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":559.86,"maximum":1634,"gross_charge":1720,"discounted_cash":1171.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1376,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":963.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1462,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1548,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":688,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":653.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":559.86,"methodology":"fee schedule"}]}]},{"description":"POD TRIM SCREW 3.5-4.0","code_information":[{"code":"70555988","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":486,"maximum":855,"gross_charge":900,"discounted_cash":613.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":486,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":576,"methodology":"fee schedule"}]}]},{"description":"POD TRIM SCREW 3.5-4.0","code_information":[{"code":"70555988","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":292.95,"maximum":855,"gross_charge":900,"discounted_cash":613.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":720,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":765,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":810,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":855,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":292.95,"methodology":"fee schedule"}]}]},{"description":"ORTH GDE PIN SPD TIP PAS 3M","code_information":[{"code":"70555990","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":274.32,"maximum":482.6,"gross_charge":508,"discounted_cash":346.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":406.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":457.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":345.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.12,"methodology":"fee schedule"}]}]},{"description":"ORTH GDE PIN SPD TIP PAS 3M","code_information":[{"code":"70555990","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":165.36,"maximum":482.6,"gross_charge":508,"discounted_cash":346.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":406.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":431.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":457.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":203.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":482.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":165.36,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN OSTEOTOMY 2.4MM","code_information":[{"code":"70555993","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":106.38,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":106.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.08,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN OSTEOTOMY 2.4MM","code_information":[{"code":"70555993","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":64.13,"maximum":187.15,"gross_charge":197,"discounted_cash":134.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":157.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":167.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":177.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":64.13,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN OSTEOTOMY 3MM","code_information":[{"code":"70555994","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":92.88,"maximum":163.4,"gross_charge":172,"discounted_cash":117.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"}]}]},{"description":"GUIDE PIN OSTEOTOMY 3MM","code_information":[{"code":"70555994","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":55.99,"maximum":163.4,"gross_charge":172,"discounted_cash":117.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.99,"methodology":"fee schedule"}]}]},{"description":"ORTH FIXATOR ADJ LG NS(392.961","code_information":[{"code":"70556002","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6903.9,"maximum":12145.75,"gross_charge":12785,"discounted_cash":8709.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":10228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":6903.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":10867.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":11506.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8693.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":8182.4,"methodology":"fee schedule"}]}]},{"description":"ORTH FIXATOR ADJ LG NS(392.961","code_information":[{"code":"70556002","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4161.52,"maximum":12145.75,"gross_charge":12785,"discounted_cash":8709.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":10228,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":7159.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":10867.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":11506.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5114,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":12145.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4858.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":4161.52,"methodology":"fee schedule"}]}]},{"description":"ORTH KNTLS FBRTAK KT(AR3638DC)","code_information":[{"code":"70556003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":464.4,"maximum":817,"gross_charge":860,"discounted_cash":585.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":688,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":464.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":731,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":774,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":550.4,"methodology":"fee schedule"}]}]},{"description":"ORTH KNTLS FBRTAK KT(AR3638DC)","code_information":[{"code":"70556003","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":279.93,"maximum":817,"gross_charge":860,"discounted_cash":585.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":688,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":731,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":774,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":344,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":279.93,"methodology":"fee schedule"}]}]},{"description":"ORTH ESMARCH STERILE","code_information":[{"code":"70556007","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.28,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.48,"methodology":"fee schedule"}]}]},{"description":"ORTH ESMARCH STERILE","code_information":[{"code":"70556007","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.42,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.42,"methodology":"fee schedule"}]}]},{"description":"E-PLT ADAPTN 1.5 446.10","code_information":[{"code":"70556010","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":657.18,"maximum":1156.15,"gross_charge":1217,"discounted_cash":829.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":973.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":657.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1095.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":827.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":778.88,"methodology":"fee schedule"}]}]},{"description":"E-PLT ADAPTN 1.5 446.10","code_information":[{"code":"70556010","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":396.14,"maximum":1156.15,"gross_charge":1217,"discounted_cash":829.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":973.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1095.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":486.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":462.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":396.14,"methodology":"fee schedule"}]}]},{"description":"E-PLT ADAPTN 20H 449.020","code_information":[{"code":"70556020","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1047.06,"maximum":1842.05,"gross_charge":1939,"discounted_cash":1320.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1551.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1648.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1240.96,"methodology":"fee schedule"}]}]},{"description":"E-PLT ADAPTN 20H 449.020","code_information":[{"code":"70556020","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":631.15,"maximum":1842.05,"gross_charge":1939,"discounted_cash":1320.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1551.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1648.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":775.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":736.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":631.15,"methodology":"fee schedule"}]}]},{"description":"LF PLT BTTR CON 15H 240.75","code_information":[{"code":"70556025","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1525.5,"maximum":2683.75,"gross_charge":2825,"discounted_cash":1924.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1525.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2401.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2542.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1921,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1808,"methodology":"fee schedule"}]}]},{"description":"LF PLT BTTR CON 15H 240.75","code_information":[{"code":"70556025","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":919.54,"maximum":2683.75,"gross_charge":2825,"discounted_cash":1924.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1582,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2401.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2542.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1130,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2683.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1073.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":919.54,"methodology":"fee schedule"}]}]},{"description":"SF PLT CLOVERLEAF 3H241.83","code_information":[{"code":"70556030","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":656.1,"maximum":1154.25,"gross_charge":1215,"discounted_cash":827.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":972,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":656.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1032.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"}]}]},{"description":"SF PLT CLOVERLEAF 3H241.83","code_information":[{"code":"70556030","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":395.49,"maximum":1154.25,"gross_charge":1215,"discounted_cash":827.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":972,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":680.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1032.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1093.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":486,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":395.49,"methodology":"fee schedule"}]}]},{"description":"SF PLT CLOVERLEAF 4H 241.84","code_information":[{"code":"70556035","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":647.46,"maximum":1139.05,"gross_charge":1199,"discounted_cash":816.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":959.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":647.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":815.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":767.36,"methodology":"fee schedule"}]}]},{"description":"SF PLT CLOVERLEAF 4H 241.84","code_information":[{"code":"70556035","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":390.28,"maximum":1139.05,"gross_charge":1199,"discounted_cash":816.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":959.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":671.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":479.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":455.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":390.28,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 22H 224.22","code_information":[{"code":"70556040","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":308.34,"maximum":542.45,"gross_charge":571,"discounted_cash":388.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":485.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":388.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":365.44,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 22H 224.22","code_information":[{"code":"70556040","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":185.87,"maximum":542.45,"gross_charge":571,"discounted_cash":388.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":456.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":319.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":485.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":513.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":228.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":542.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":185.87,"methodology":"fee schedule"}]}]},{"description":"POD AUGMENT KT INJ(K300030-10","code_information":[{"code":"70556049","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5528.52,"maximum":9726.1,"gross_charge":10238,"discounted_cash":6974.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5528.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8702.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6961.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6552.32,"methodology":"fee schedule"}]}]},{"description":"POD AUGMENT KT INJ(K300030-10","code_information":[{"code":"70556049","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3332.47,"maximum":9726.1,"gross_charge":10238,"discounted_cash":6974.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":8190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":5733.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":8702.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":9214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4095.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":9726.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3890.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":3332.47,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-12H 237","code_information":[{"code":"70556055","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1073.52,"maximum":1888.6,"gross_charge":1988,"discounted_cash":1354.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1689.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1351.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1272.32,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-12H 237","code_information":[{"code":"70556055","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":647.1,"maximum":1888.6,"gross_charge":1988,"discounted_cash":1354.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1689.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":795.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1888.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":755.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":647.1,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-5H 237","code_information":[{"code":"70556060","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":892.08,"maximum":1569.4,"gross_charge":1652,"discounted_cash":1125.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":892.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1404.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1486.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1057.28,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-5H 237","code_information":[{"code":"70556060","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":537.73,"maximum":1569.4,"gross_charge":1652,"discounted_cash":1125.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":925.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1404.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1486.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":660.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1569.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":627.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":537.73,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-7H 237","code_information":[{"code":"70556065","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":940.68,"maximum":1654.9,"gross_charge":1742,"discounted_cash":1186.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":940.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1567.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1114.88,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-7H 237","code_information":[{"code":"70556065","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":567.03,"maximum":1654.9,"gross_charge":1742,"discounted_cash":1186.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":975.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1480.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1567.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":696.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":661.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":567.03,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 4H 449.034","code_information":[{"code":"70556075","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":629.64,"maximum":1107.7,"gross_charge":1166,"discounted_cash":794.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":932.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":629.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":991.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1049.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":792.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":746.24,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 4H 449.034","code_information":[{"code":"70556075","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":379.54,"maximum":1107.7,"gross_charge":1166,"discounted_cash":794.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":932.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":991.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1049.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":466.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":379.54,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 7H 449.037","code_information":[{"code":"70556085","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":732.78,"maximum":1289.15,"gross_charge":1357,"discounted_cash":924.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":732.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1221.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":922.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":868.48,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 7H 449.037","code_information":[{"code":"70556085","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":441.71,"maximum":1289.15,"gross_charge":1357,"discounted_cash":924.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":759.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1221.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":542.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":515.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":441.71,"methodology":"fee schedule"}]}]},{"description":"E-PLT ANGLD 2.0 4X4 449.032","code_information":[{"code":"70556090","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":921.78,"maximum":1621.65,"gross_charge":1707,"discounted_cash":1162.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1365.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":921.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1450.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1536.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1092.48,"methodology":"fee schedule"}]}]},{"description":"E-PLT ANGLD 2.0 4X4 449.032","code_information":[{"code":"70556090","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":555.63,"maximum":1621.65,"gross_charge":1707,"discounted_cash":1162.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1365.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":955.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1450.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1536.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":682.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":648.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":555.63,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 5H 449.035","code_information":[{"code":"70556095","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":684.72,"maximum":1204.6,"gross_charge":1268,"discounted_cash":863.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1014.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1077.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1141.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":862.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":811.52,"methodology":"fee schedule"}]}]},{"description":"E-PLT 2.0 5H 449.035","code_information":[{"code":"70556095","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":412.74,"maximum":1204.6,"gross_charge":1268,"discounted_cash":863.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1014.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":710.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1077.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1141.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1204.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":481.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":412.74,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 5H 245.15","code_information":[{"code":"70556100","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":686.88,"maximum":1208.4,"gross_charge":1272,"discounted_cash":866.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":686.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":864.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":814.08,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 5H 245.15","code_information":[{"code":"70556100","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":414.04,"maximum":1208.4,"gross_charge":1272,"discounted_cash":866.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":712.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":483.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":414.04,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD4.5 18H226.18","code_information":[{"code":"70556130","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":737.1,"maximum":1296.75,"gross_charge":1365,"discounted_cash":929.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1092,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":737.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD4.5 18H226.18","code_information":[{"code":"70556130","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":444.31,"maximum":1296.75,"gross_charge":1365,"discounted_cash":929.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1092,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":764.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":546,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":444.31,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD 4.5 6-7H 226","code_information":[{"code":"70556135","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":359.1,"maximum":631.75,"gross_charge":665,"discounted_cash":453.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":532,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":359.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD 4.5 6-7H 226","code_information":[{"code":"70556135","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":216.46,"maximum":631.75,"gross_charge":665,"discounted_cash":453.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":532,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":565.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":631.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":252.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":216.46,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD4.5 12-14H226","code_information":[{"code":"70556145","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":415.26,"maximum":730.55,"gross_charge":769,"discounted_cash":523.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":615.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":415.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":653.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":692.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":522.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.16,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP BRD4.5 12-14H226","code_information":[{"code":"70556145","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":250.31,"maximum":730.55,"gross_charge":769,"discounted_cash":523.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":615.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":430.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":653.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":692.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":307.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":292.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":250.31,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP CON BTT7H LR 240","code_information":[{"code":"70556150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1236.06,"maximum":2174.55,"gross_charge":2289,"discounted_cash":1559.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1236.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1945.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1464.96,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP CON BTT7H LR 240","code_information":[{"code":"70556150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":745.07,"maximum":2174.55,"gross_charge":2289,"discounted_cash":1559.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1945.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":915.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":869.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":745.07,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP CON BTT9H LR 240","code_information":[{"code":"70556155","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1337.04,"maximum":2352.2,"gross_charge":2476,"discounted_cash":1686.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1337.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2104.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1683.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1584.64,"methodology":"fee schedule"}]}]},{"description":"LF PLT DCP CON BTT9H LR 240","code_information":[{"code":"70556155","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":805.94,"maximum":2352.2,"gross_charge":2476,"discounted_cash":1686.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1386.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2104.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":940.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":805.94,"methodology":"fee schedule"}]}]},{"description":"E-PLT OBL-L 1.3 446.50/53","code_information":[{"code":"70556160","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":491.4,"maximum":864.5,"gross_charge":910,"discounted_cash":619.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":728,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":491.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":773.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":618.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":582.4,"methodology":"fee schedule"}]}]},{"description":"E-PLT OBL-L 1.3 446.50/53","code_information":[{"code":"70556160","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":296.21,"maximum":864.5,"gross_charge":910,"discounted_cash":619.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":728,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":773.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":364,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":296.21,"methodology":"fee schedule"}]}]},{"description":"E-PLT ORB RM 1.5 12H 446.22","code_information":[{"code":"70556165","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":617.76,"maximum":1086.8,"gross_charge":1144,"discounted_cash":779.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":915.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":617.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":972.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":777.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":732.16,"methodology":"fee schedule"}]}]},{"description":"E-PLT ORB RM 1.5 12H 446.22","code_information":[{"code":"70556165","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":372.38,"maximum":1086.8,"gross_charge":1144,"discounted_cash":779.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":915.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":640.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":972.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":457.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":434.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"}]}]},{"description":"E-PLT Y-1.5 446.61","code_information":[{"code":"70556170","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":495.72,"maximum":872.1,"gross_charge":918,"discounted_cash":625.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":495.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":624.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":587.52,"methodology":"fee schedule"}]}]},{"description":"E-PLT Y-1.5 446.61","code_information":[{"code":"70556170","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":298.81,"maximum":872.1,"gross_charge":918,"discounted_cash":625.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":734.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":514.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":780.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":826.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":298.81,"methodology":"fee schedule"}]}]},{"description":"E-PLT Y-1.3 421.061","code_information":[{"code":"70556180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":423.9,"maximum":745.75,"gross_charge":785,"discounted_cash":534.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":667.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":706.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":533.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":502.4,"methodology":"fee schedule"}]}]},{"description":"E-PLT Y-1.3 421.061","code_information":[{"code":"70556180","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":255.52,"maximum":745.75,"gross_charge":785,"discounted_cash":534.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":439.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":667.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":706.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":314,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":745.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.52,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT DCS 95D 12-14H 281","code_information":[{"code":"70556185","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1587.06,"maximum":2792.05,"gross_charge":2939,"discounted_cash":2002.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2351.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2498.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2645.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1998.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1880.96,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT DCS 95D 12-14H 281","code_information":[{"code":"70556185","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":956.65,"maximum":2792.05,"gross_charge":2939,"discounted_cash":2002.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2351.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1645.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2498.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2645.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2792.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1116.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":956.65,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT DHS/DCP135D 8-12H","code_information":[{"code":"70556210","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1181.52,"maximum":2078.6,"gross_charge":2188,"discounted_cash":1490.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1181.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1859.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1969.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1487.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1400.32,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT DHS/DCP135D 8-12H","code_information":[{"code":"70556210","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":712.2,"maximum":2078.6,"gross_charge":2188,"discounted_cash":1490.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1225.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1859.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1969.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":875.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":831.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":712.2,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX HUMRU 241.901","code_information":[{"code":"70556211","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2527.2,"maximum":4446,"gross_charge":4680,"discounted_cash":3188.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3744,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2527.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3978,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4212,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3182.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2995.2,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX HUMRU 241.901","code_information":[{"code":"70556211","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1523.34,"maximum":4446,"gross_charge":4680,"discounted_cash":3188.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3744,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2620.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3978,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4212,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1872,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4446,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1778.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1523.34,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 2H 244.02","code_information":[{"code":"70556215","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":260.28,"maximum":457.9,"gross_charge":482,"discounted_cash":328.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":385.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":260.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":409.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":433.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":327.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":308.48,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 2H 244.02","code_information":[{"code":"70556215","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":156.9,"maximum":457.9,"gross_charge":482,"discounted_cash":328.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":385.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":269.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":409.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":433.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":156.9,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 5H 244.05","code_information":[{"code":"70556225","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":332.64,"maximum":585.2,"gross_charge":616,"discounted_cash":419.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":554.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.24,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 5H 244.05","code_information":[{"code":"70556225","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":200.51,"maximum":585.2,"gross_charge":616,"discounted_cash":419.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":554.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":234.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":200.51,"methodology":"fee schedule"}]}]},{"description":"LF PLT 4.5 NAR DCP 11H 224.","code_information":[{"code":"70556255","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":299.7,"maximum":527.25,"gross_charge":555,"discounted_cash":378.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":444,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":471.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":499.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":377.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":355.2,"methodology":"fee schedule"}]}]},{"description":"LF PLT 4.5 NAR DCP 11H 224.","code_information":[{"code":"70556255","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":180.66,"maximum":527.25,"gross_charge":555,"discounted_cash":378.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":444,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":310.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":471.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":499.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":222,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":527.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":180.66,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 12H 244.12","code_information":[{"code":"70556260","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":592.92,"maximum":1043.1,"gross_charge":1098,"discounted_cash":748.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":878.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":592.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":933.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":988.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":746.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":702.72,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.7 DCP 12H 244.12","code_information":[{"code":"70556260","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":357.4,"maximum":1043.1,"gross_charge":1098,"discounted_cash":748.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":878.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":614.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":933.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":988.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":439.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":417.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":357.4,"methodology":"fee schedule"}]}]},{"description":"E-PLT ORB RM 1.3 9H 421.021","code_information":[{"code":"70556280","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":428.22,"maximum":753.35,"gross_charge":793,"discounted_cash":540.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":634.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":674.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":713.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":539.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":507.52,"methodology":"fee schedule"}]}]},{"description":"E-PLT ORB RM 1.3 9H 421.021","code_information":[{"code":"70556280","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":258.13,"maximum":753.35,"gross_charge":793,"discounted_cash":540.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":634.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":444.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":674.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":713.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":301.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":258.13,"methodology":"fee schedule"}]}]},{"description":"E-PLT MESH TTAN 1.3 421.001","code_information":[{"code":"70556285","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2170.8,"maximum":3819,"gross_charge":4020,"discounted_cash":2738.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2170.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3417,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3618,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2733.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2572.8,"methodology":"fee schedule"}]}]},{"description":"E-PLT MESH TTAN 1.3 421.001","code_information":[{"code":"70556285","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1308.51,"maximum":3819,"gross_charge":4020,"discounted_cash":2738.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3417,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3618,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1608,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1527.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1308.51,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 2H 248.02","code_information":[{"code":"70556310","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":283.5,"maximum":498.75,"gross_charge":525,"discounted_cash":357.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":283.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":446.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":357,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 2H 248.02","code_information":[{"code":"70556310","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":170.89,"maximum":498.75,"gross_charge":525,"discounted_cash":357.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":420,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":446.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":472.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":170.89,"methodology":"fee schedule"}]}]},{"description":"SF PLT-F FRG DCP 3H 248.03","code_information":[{"code":"70556311","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":292.68,"maximum":514.9,"gross_charge":542,"discounted_cash":369.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":433.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":292.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":460.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":487.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":368.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":346.88,"methodology":"fee schedule"}]}]},{"description":"SF PLT-F FRG DCP 3H 248.03","code_information":[{"code":"70556311","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":176.43,"maximum":514.9,"gross_charge":542,"discounted_cash":369.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":433.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":303.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":460.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":487.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":216.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":176.43,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 4H 248.04","code_information":[{"code":"70556312","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":328.32,"maximum":577.6,"gross_charge":608,"discounted_cash":414.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":413.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":389.12,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 4H 248.04","code_information":[{"code":"70556312","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":197.91,"maximum":577.6,"gross_charge":608,"discounted_cash":414.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":486.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":340.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":516.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":197.91,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 5H 248.05","code_information":[{"code":"70556313","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":324.54,"maximum":570.95,"gross_charge":601,"discounted_cash":409.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":480.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":324.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":510.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":540.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":408.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":384.64,"methodology":"fee schedule"}]}]},{"description":"SF PLT-S FRG DCP 5H 248.05","code_information":[{"code":"70556313","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":195.63,"maximum":570.95,"gross_charge":601,"discounted_cash":409.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":480.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":336.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":510.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":540.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":240.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":570.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":195.63,"methodology":"fee schedule"}]}]},{"description":"E-PLT T-3HX4H 421.071","code_information":[{"code":"70556325","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":302.94,"maximum":532.95,"gross_charge":561,"discounted_cash":382.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":302.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":476.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":381.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.04,"methodology":"fee schedule"}]}]},{"description":"E-PLT T-3HX4H 421.071","code_information":[{"code":"70556325","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":182.61,"maximum":532.95,"gross_charge":561,"discounted_cash":382.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":448.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":314.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":476.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":224.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":182.61,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT 18H 421.080","code_information":[{"code":"70556330","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":893.16,"maximum":1571.3,"gross_charge":1654,"discounted_cash":1126.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":893.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1405.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1058.56,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT 18H 421.080","code_information":[{"code":"70556330","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":538.38,"maximum":1571.3,"gross_charge":1654,"discounted_cash":1126.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":926.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1405.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1488.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":661.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":628.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":538.38,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.0 3H STRT 243.13","code_information":[{"code":"70556335","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":147.42,"maximum":259.35,"gross_charge":273,"discounted_cash":185.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":218.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":245.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":185.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.0 3H STRT 243.13","code_information":[{"code":"70556335","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":88.87,"maximum":259.35,"gross_charge":273,"discounted_cash":185.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":218.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":232.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":245.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":109.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":259.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":88.87,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.0 5H STRT 243.15","code_information":[{"code":"70556345","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":152.82,"maximum":268.85,"gross_charge":283,"discounted_cash":192.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":254.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":192.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.12,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 2.0 5H STRT 243.15","code_information":[{"code":"70556345","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":92.12,"maximum":268.85,"gross_charge":283,"discounted_cash":192.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":158.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":254.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":268.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.12,"methodology":"fee schedule"}]}]},{"description":"E-PLT UNIV FX 8H 449.38","code_information":[{"code":"70556350","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":291.06,"maximum":512.05,"gross_charge":539,"discounted_cash":367.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":291.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":458.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":485.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":344.96,"methodology":"fee schedule"}]}]},{"description":"E-PLT UNIV FX 8H 449.38","code_information":[{"code":"70556350","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":175.45,"maximum":512.05,"gross_charge":539,"discounted_cash":367.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":431.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":301.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":458.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":485.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":215.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":512.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":175.45,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT-NAR 8H 449.008","code_information":[{"code":"70556355","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":676.62,"maximum":1190.35,"gross_charge":1253,"discounted_cash":853.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1002.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":676.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":852.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":801.92,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT-NAR 8H 449.008","code_information":[{"code":"70556355","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":407.86,"maximum":1190.35,"gross_charge":1253,"discounted_cash":853.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1002.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":701.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":501.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":476.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":407.86,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT-NAR 4H 449.004","code_information":[{"code":"70556360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":578.34,"maximum":1017.45,"gross_charge":1071,"discounted_cash":729.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":910.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":963.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":728.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT-NAR 4H 449.004","code_information":[{"code":"70556360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":348.62,"maximum":1017.45,"gross_charge":1071,"discounted_cash":729.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":599.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":910.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":963.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":348.62,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT 2.0 8H 449.028","code_information":[{"code":"70556366","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":600.48,"maximum":1056.4,"gross_charge":1112,"discounted_cash":757.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":889.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":600.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":945.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":756.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":711.68,"methodology":"fee schedule"}]}]},{"description":"E-PLT STRGHT 2.0 8H 449.028","code_information":[{"code":"70556366","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":361.96,"maximum":1056.4,"gross_charge":1112,"discounted_cash":757.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":889.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":622.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":945.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":422.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":361.96,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 6H 245.16","code_information":[{"code":"70556370","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":789.48,"maximum":1388.9,"gross_charge":1462,"discounted_cash":995.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":789.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1242.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":994.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":935.68,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 6H 245.16","code_information":[{"code":"70556370","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":475.89,"maximum":1388.9,"gross_charge":1462,"discounted_cash":995.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":818.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1242.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":555.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":475.89,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 7H 245.17","code_information":[{"code":"70556375","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":827.82,"maximum":1456.35,"gross_charge":1533,"discounted_cash":1044.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":827.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1303.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1042.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":981.12,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 7H 245.17","code_information":[{"code":"70556375","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":499,"maximum":1456.35,"gross_charge":1533,"discounted_cash":1044.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1226.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":858.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1303.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":613.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":582.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":499,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 8H 245.18","code_information":[{"code":"70556380","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":861.84,"maximum":1516.2,"gross_charge":1596,"discounted_cash":1087.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":861.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1356.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1085.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1021.44,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 8H 245.18","code_information":[{"code":"70556380","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":519.5,"maximum":1516.2,"gross_charge":1596,"discounted_cash":1087.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":893.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1356.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1516.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":606.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":519.5,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 9H 245.19","code_information":[{"code":"70556385","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":883.44,"maximum":1554.2,"gross_charge":1636,"discounted_cash":1114.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":883.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1390.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1047.04,"methodology":"fee schedule"}]}]},{"description":"SF PLT 3.5 RECON 9H 245.19","code_information":[{"code":"70556385","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":532.52,"maximum":1554.2,"gross_charge":1636,"discounted_cash":1114.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":916.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1390.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":654.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":621.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":532.52,"methodology":"fee schedule"}]}]},{"description":"SF PLT RECONSTR 10H 245.00","code_information":[{"code":"70556390","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":890.46,"maximum":1566.55,"gross_charge":1649,"discounted_cash":1123.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1319.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":890.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1401.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1121.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1055.36,"methodology":"fee schedule"}]}]},{"description":"SF PLT RECONSTR 10H 245.00","code_information":[{"code":"70556390","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":536.75,"maximum":1566.55,"gross_charge":1649,"discounted_cash":1123.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1319.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":923.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1401.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":659.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1566.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":626.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":536.75,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-14H 237","code_information":[{"code":"70556395","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1607.58,"maximum":2828.15,"gross_charge":2977,"discounted_cash":2028.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2381.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2530.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2679.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2024.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1905.28,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 50-80M-14H 237","code_information":[{"code":"70556395","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":969.02,"maximum":2828.15,"gross_charge":2977,"discounted_cash":2028.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2381.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1667.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2530.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2679.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1190.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2828.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1131.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":969.02,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 60-80M-16H 237","code_information":[{"code":"70556400","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1699.38,"maximum":2989.65,"gross_charge":3147,"discounted_cash":2143.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2517.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1699.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2674.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2832.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2014.08,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 60-80M-16H 237","code_information":[{"code":"70556400","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1024.35,"maximum":2989.65,"gross_charge":3147,"discounted_cash":2143.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2517.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1762.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2674.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2832.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1258.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2989.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1195.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1024.35,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 60-80M-18H 237","code_information":[{"code":"70556405","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1881.36,"maximum":3309.8,"gross_charge":3484,"discounted_cash":2373.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2787.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2961.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2369.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2229.76,"methodology":"fee schedule"}]}]},{"description":"ANG/BLD PLT 60-80M-18H 237","code_information":[{"code":"70556405","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1134.05,"maximum":3309.8,"gross_charge":3484,"discounted_cash":2373.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2787.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1951.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2961.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3309.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1323.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1134.05,"methodology":"fee schedule"}]}]},{"description":"LF PLT SPOON 5H 240.05","code_information":[{"code":"70556410","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":572.94,"maximum":1007.95,"gross_charge":1061,"discounted_cash":722.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":848.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":572.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":901.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":954.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":721.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":679.04,"methodology":"fee schedule"}]}]},{"description":"LF PLT SPOON 5H 240.05","code_information":[{"code":"70556410","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":345.36,"maximum":1007.95,"gross_charge":1061,"discounted_cash":722.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":848.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":594.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":901.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":954.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":424.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":403.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":345.36,"methodology":"fee schedule"}]}]},{"description":"LF PLT SPOON 6H 240.06","code_information":[{"code":"70556415","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":616.68,"maximum":1084.9,"gross_charge":1142,"discounted_cash":777.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":913.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":616.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":970.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":776.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":730.88,"methodology":"fee schedule"}]}]},{"description":"LF PLT SPOON 6H 240.06","code_information":[{"code":"70556415","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":371.73,"maximum":1084.9,"gross_charge":1142,"discounted_cash":777.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":913.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":639.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":970.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":456.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":433.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":371.73,"methodology":"fee schedule"}]}]},{"description":"E-PLT CRV 2.0 4H 443.025","code_information":[{"code":"70556426","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":775.44,"maximum":1364.2,"gross_charge":1436,"discounted_cash":978.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":775.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":976.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":919.04,"methodology":"fee schedule"}]}]},{"description":"E-PLT CRV 2.0 4H 443.025","code_information":[{"code":"70556426","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":467.42,"maximum":1364.2,"gross_charge":1436,"discounted_cash":978.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":574.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":545.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":467.42,"methodology":"fee schedule"}]}]},{"description":"LT CRV 2.0 6H 449.027","code_information":[{"code":"70556427","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":825.66,"maximum":1452.55,"gross_charge":1529,"discounted_cash":1041.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":825.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1299.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1376.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1039.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":978.56,"methodology":"fee schedule"}]}]},{"description":"LT CRV 2.0 6H 449.027","code_information":[{"code":"70556427","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":497.69,"maximum":1452.55,"gross_charge":1529,"discounted_cash":1041.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":856.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1299.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1376.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":611.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1452.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":581.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":497.69,"methodology":"fee schedule"}]}]},{"description":"MF PLATE-L 2.0 LT-RT 243.31","code_information":[{"code":"70556445","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":153.36,"maximum":269.8,"gross_charge":284,"discounted_cash":193.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":227.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":153.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":241.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":255.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":193.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.76,"methodology":"fee schedule"}]}]},{"description":"MF PLATE-L 2.0 LT-RT 243.31","code_information":[{"code":"70556445","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":92.45,"maximum":269.8,"gross_charge":284,"discounted_cash":193.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":227.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":241.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":255.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":92.45,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 1/4 TUBLR 242.3/5","code_information":[{"code":"70556455","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":183.06,"maximum":322.05,"gross_charge":339,"discounted_cash":230.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":271.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":288.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":305.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":230.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.96,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 1/4 TUBLR 242.3/5","code_information":[{"code":"70556455","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":110.35,"maximum":322.05,"gross_charge":339,"discounted_cash":230.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":271.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":288.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":305.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":110.35,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 1/4 TUBLR 242.06","code_information":[{"code":"70556465","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":224.1,"maximum":394.25,"gross_charge":415,"discounted_cash":282.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.6,"methodology":"fee schedule"}]}]},{"description":"MF PLATE 1/4 TUBLR 242.06","code_information":[{"code":"70556465","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":135.09,"maximum":394.25,"gross_charge":415,"discounted_cash":282.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":135.09,"methodology":"fee schedule"}]}]},{"description":"LF PLT T 6H 240.16","code_information":[{"code":"70556490","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":699.3,"maximum":1230.25,"gross_charge":1295,"discounted_cash":882.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1036,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":699.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":880.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":828.8,"methodology":"fee schedule"}]}]},{"description":"LF PLT T 6H 240.16","code_information":[{"code":"70556490","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":421.53,"maximum":1230.25,"gross_charge":1295,"discounted_cash":882.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1036,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1100.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":518,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":421.53,"methodology":"fee schedule"}]}]},{"description":"LF PLT T 8H 240.18","code_information":[{"code":"70556495","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":946.62,"maximum":1665.35,"gross_charge":1753,"discounted_cash":1194.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":946.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1490.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1577.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1192.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1121.92,"methodology":"fee schedule"}]}]},{"description":"LF PLT T 8H 240.18","code_information":[{"code":"70556495","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":570.61,"maximum":1665.35,"gross_charge":1753,"discounted_cash":1194.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":981.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1490.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1577.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":701.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1665.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":666.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":570.61,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/3H 241.931","code_information":[{"code":"70556499","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":705.78,"maximum":1241.65,"gross_charge":1307,"discounted_cash":890.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":705.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1110.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":888.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":836.48,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/3H 241.931","code_information":[{"code":"70556499","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":425.43,"maximum":1241.65,"gross_charge":1307,"discounted_cash":890.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":731.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1110.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":522.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":496.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":425.43,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/4H 241.941","code_information":[{"code":"70556501","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":740.34,"maximum":1302.45,"gross_charge":1371,"discounted_cash":933.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":740.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1233.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":932.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":877.44,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/4H 241.941","code_information":[{"code":"70556501","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":446.27,"maximum":1302.45,"gross_charge":1371,"discounted_cash":933.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":767.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1165.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1233.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":548.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":446.27,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/7H 241.971","code_information":[{"code":"70556504","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":835.92,"maximum":1470.6,"gross_charge":1548,"discounted_cash":1054.57,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":835.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1052.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":990.72,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T OBLQ LCP 3/7H 241.971","code_information":[{"code":"70556504","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":503.88,"maximum":1470.6,"gross_charge":1548,"discounted_cash":1054.57,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1238.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":866.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":619.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":588.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":503.88,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 4H RGT-ANGL 241.14","code_information":[{"code":"70556515","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":288.36,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":363.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.76,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 4H RGT-ANGL 241.14","code_information":[{"code":"70556515","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":173.82,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":173.82,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 3.5 HD-3H SFT-5H","code_information":[{"code":"70556525","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":284.58,"maximum":500.65,"gross_charge":527,"discounted_cash":359.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":474.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":358.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.28,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 3.5 HD-3H SFT-5H","code_information":[{"code":"70556525","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":171.54,"maximum":500.65,"gross_charge":527,"discounted_cash":359.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":474.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.54,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 2.7 242.41","code_information":[{"code":"70556535","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":163.08,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":241.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":163.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":205.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.28,"methodology":"fee schedule"}]}]},{"description":"SF PLT-T 2.7 242.41","code_information":[{"code":"70556535","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":98.31,"maximum":286.9,"gross_charge":302,"discounted_cash":205.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":241.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":256.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":271.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":98.31,"methodology":"fee schedule"}]}]},{"description":"SF PLT 1/3TB 3.5 4H 241","code_information":[{"code":"70556545","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":154.98,"maximum":272.65,"gross_charge":287,"discounted_cash":195.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":195.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.68,"methodology":"fee schedule"}]}]},{"description":"SF PLT 1/3TB 3.5 4H 241","code_information":[{"code":"70556545","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":93.42,"maximum":272.65,"gross_charge":287,"discounted_cash":195.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":93.42,"methodology":"fee schedule"}]}]},{"description":"LF PLT T BUTRES 6H 240.36","code_information":[{"code":"70556560","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":999,"maximum":1757.5,"gross_charge":1850,"discounted_cash":1260.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1480,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":999,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1572.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1665,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1258,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1184,"methodology":"fee schedule"}]}]},{"description":"LF PLT T BUTRES 6H 240.36","code_information":[{"code":"70556560","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":602.18,"maximum":1757.5,"gross_charge":1850,"discounted_cash":1260.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1480,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1036,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1572.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1665,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":740,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1757.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":703,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":602.18,"methodology":"fee schedule"}]}]},{"description":"LF PLT SEMI-TUBLR 22.02-12","code_information":[{"code":"70556570","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":157.14,"maximum":276.45,"gross_charge":291,"discounted_cash":198.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":157.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":197.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"}]}]},{"description":"LF PLT SEMI-TUBLR 22.02-12","code_information":[{"code":"70556570","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":94.73,"maximum":276.45,"gross_charge":291,"discounted_cash":198.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":232.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":247.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":261.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":116.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":94.73,"methodology":"fee schedule"}]}]},{"description":"E-PLT BX 13X18 4H 421.095","code_information":[{"code":"70556575","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":407.7,"maximum":717.25,"gross_charge":755,"discounted_cash":514.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":604,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":407.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":641.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":679.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":513.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":483.2,"methodology":"fee schedule"}]}]},{"description":"E-PLT BX 13X18 4H 421.095","code_information":[{"code":"70556575","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":245.76,"maximum":717.25,"gross_charge":755,"discounted_cash":514.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":604,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":641.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":679.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":302,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":245.76,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR2.4 401.306-318","code_information":[{"code":"70556579","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":162,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":204,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR2.4 401.306-318","code_information":[{"code":"70556579","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":97.65,"maximum":285,"gross_charge":300,"discounted_cash":204.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":255,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":270,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.65,"methodology":"fee schedule"}]}]},{"description":"E-PLT BX 13X13 4H 421.096","code_information":[{"code":"70556580","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":412.56,"maximum":725.8,"gross_charge":764,"discounted_cash":520.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":687.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":519.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":488.96,"methodology":"fee schedule"}]}]},{"description":"E-PLT BX 13X13 4H 421.096","code_information":[{"code":"70556580","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":248.69,"maximum":725.8,"gross_charge":764,"discounted_cash":520.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":427.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":649.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":687.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":305.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":725.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":248.69,"methodology":"fee schedule"}]}]},{"description":"PREP-SKIN TRAY/PAK (ALL)","code_information":[{"code":"70556590","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.84,"maximum":43.7,"gross_charge":46,"discounted_cash":31.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":39.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.44,"methodology":"fee schedule"}]}]},{"description":"PREP-SKIN TRAY/PAK (ALL)","code_information":[{"code":"70556590","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.98,"maximum":43.7,"gross_charge":46,"discounted_cash":31.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":39.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.98,"methodology":"fee schedule"}]}]},{"description":"ORTH PRESS SENR MONTR W/CAT","code_information":[{"code":"70556600","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":154.44,"maximum":271.7,"gross_charge":286,"discounted_cash":194.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":257.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.04,"methodology":"fee schedule"}]}]},{"description":"ORTH PRESS SENR MONTR W/CAT","code_information":[{"code":"70556600","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":93.1,"maximum":271.7,"gross_charge":286,"discounted_cash":194.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":228.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":257.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"}]}]},{"description":"ENT NIM-II ELECTRODES KIT","code_information":[{"code":"70556614","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":207.36,"maximum":364.8,"gross_charge":384,"discounted_cash":261.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":307.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":245.76,"methodology":"fee schedule"}]}]},{"description":"ENT NIM-II ELECTRODES KIT","code_information":[{"code":"70556614","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":125,"maximum":364.8,"gross_charge":384,"discounted_cash":261.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":307.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":153.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125,"methodology":"fee schedule"}]}]},{"description":"ENT NIM-II PROBE TIP","code_information":[{"code":"70556615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":252.18,"maximum":443.65,"gross_charge":467,"discounted_cash":318.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":252.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":420.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.88,"methodology":"fee schedule"}]}]},{"description":"ENT NIM-II PROBE TIP","code_information":[{"code":"70556615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.01,"maximum":443.65,"gross_charge":467,"discounted_cash":318.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":373.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":261.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":396.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":420.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":186.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":152.01,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELOAD (XR90B)","code_information":[{"code":"70556625","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":189.54,"maximum":333.45,"gross_charge":351,"discounted_cash":239.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":298.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":315.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":238.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":224.64,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELOAD (XR90B)","code_information":[{"code":"70556625","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":114.26,"maximum":333.45,"gross_charge":351,"discounted_cash":239.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":280.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":298.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":315.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":333.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":114.26,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELD (TR45MM)","code_information":[{"code":"70556626","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":265.14,"maximum":466.45,"gross_charge":491,"discounted_cash":334.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":392.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":441.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":333.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":314.24,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELD (TR45MM)","code_information":[{"code":"70556626","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":159.83,"maximum":466.45,"gross_charge":491,"discounted_cash":334.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":392.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":274.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":417.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":441.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":196.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":159.83,"methodology":"fee schedule"}]}]},{"description":"ENDO VERSASTEP 10/12MM","code_information":[{"code":"70556640","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":184.14,"maximum":323.95,"gross_charge":341,"discounted_cash":232.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":184.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":231.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":218.24,"methodology":"fee schedule"}]}]},{"description":"ENDO VERSASTEP 10/12MM","code_information":[{"code":"70556640","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":111,"maximum":323.95,"gross_charge":341,"discounted_cash":232.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":272.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":190.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":289.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":306.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":136.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR/ENDO RELD (ZR45G","code_information":[{"code":"70556650","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":327.24,"maximum":575.7,"gross_charge":606,"discounted_cash":412.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":327.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":515.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":545.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR/ENDO RELD (ZR45G","code_information":[{"code":"70556650","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":197.26,"maximum":575.7,"gross_charge":606,"discounted_cash":412.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":515.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":545.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":575.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":230.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":197.26,"methodology":"fee schedule"}]}]},{"description":"ENDO LIN STPLR RELD TR35V/B","code_information":[{"code":"70556655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":227.88,"maximum":400.9,"gross_charge":422,"discounted_cash":287.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":337.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":379.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.08,"methodology":"fee schedule"}]}]},{"description":"ENDO LIN STPLR RELD TR35V/B","code_information":[{"code":"70556655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":137.37,"maximum":400.9,"gross_charge":422,"discounted_cash":287.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":337.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":358.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":379.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":168.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":137.37,"methodology":"fee schedule"}]}]},{"description":"RELOADER STPL C/T/C (CR40G)","code_information":[{"code":"70556673","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":402.84,"maximum":708.7,"gross_charge":746,"discounted_cash":508.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":402.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":671.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":507.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":477.44,"methodology":"fee schedule"}]}]},{"description":"RELOADER STPL C/T/C (CR40G)","code_information":[{"code":"70556673","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":242.83,"maximum":708.7,"gross_charge":746,"discounted_cash":508.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":417.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":634.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":671.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":298.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":283.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":242.83,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN CUT TL (TR90)","code_information":[{"code":"70556674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":118.26,"maximum":208.05,"gross_charge":219,"discounted_cash":149.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN CUT TL (TR90)","code_information":[{"code":"70556674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":71.29,"maximum":208.05,"gross_charge":219,"discounted_cash":149.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":71.29,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELOAD (TCR10)","code_information":[{"code":"70556676","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":224.64,"maximum":395.2,"gross_charge":416,"discounted_cash":283.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.24,"methodology":"fee schedule"}]}]},{"description":"LINR STPLR RELOAD (TCR10)","code_information":[{"code":"70556676","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":135.41,"maximum":395.2,"gross_charge":416,"discounted_cash":283.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":232.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":353.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":135.41,"methodology":"fee schedule"}]}]},{"description":"LINR RELOAD CRTRDG 60(ECR-BGWD","code_information":[{"code":"70556692","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":282.42,"maximum":496.85,"gross_charge":523,"discounted_cash":356.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":418.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":444.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":470.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":355.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.72,"methodology":"fee schedule"}]}]},{"description":"LINR RELOAD CRTRDG 60(ECR-BGWD","code_information":[{"code":"70556692","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":170.24,"maximum":496.85,"gross_charge":523,"discounted_cash":356.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":418.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":292.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":444.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":470.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":209.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":496.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":198.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":170.24,"methodology":"fee schedule"}]}]},{"description":"ORTH SLING ARM ULT (MED)","code_information":[{"code":"70556705","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":93.96,"maximum":165.3,"gross_charge":174,"discounted_cash":118.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":93.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":147.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":156.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":118.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.36,"methodology":"fee schedule"}]}]},{"description":"ORTH SLING ARM ULT (MED)","code_information":[{"code":"70556705","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.64,"maximum":165.3,"gross_charge":174,"discounted_cash":118.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":97.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":147.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":156.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":56.64,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL217.085-110","code_information":[{"code":"70556755","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":211.68,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":211.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":266.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.88,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL217.085-110","code_information":[{"code":"70556755","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":127.6,"maximum":372.4,"gross_charge":392,"discounted_cash":267.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":333.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":352.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":372.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":127.6,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL215.030-080","code_information":[{"code":"70556780","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":85.86,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL215.030-080","code_information":[{"code":"70556780","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":51.76,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.76,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL216.085-110","code_information":[{"code":"70556785","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":95.04,"maximum":167.2,"gross_charge":176,"discounted_cash":119.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.64,"methodology":"fee schedule"}]}]},{"description":"LF SCRW 6.5CANCL216.085-110","code_information":[{"code":"70556785","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":57.29,"maximum":167.2,"gross_charge":176,"discounted_cash":119.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":57.29,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL SCRW 7.0 209","code_information":[{"code":"70556810","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":571.86,"maximum":1006.05,"gross_charge":1059,"discounted_cash":721.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":847.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":571.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":900.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":953.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":720.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":677.76,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL SCRW 7.0 209","code_information":[{"code":"70556810","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":344.71,"maximum":1006.05,"gross_charge":1059,"discounted_cash":721.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":847.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":593.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":900.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":953.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":423.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":402.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":344.71,"methodology":"fee schedule"}]}]},{"description":"ORTH CONCEPT SCREW (ALL)","code_information":[{"code":"70556840","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":185.76,"maximum":326.8,"gross_charge":344,"discounted_cash":234.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":292.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.16,"methodology":"fee schedule"}]}]},{"description":"ORTH CONCEPT SCREW (ALL)","code_information":[{"code":"70556840","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":111.98,"maximum":326.8,"gross_charge":344,"discounted_cash":234.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":275.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":292.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":137.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":111.98,"methodology":"fee schedule"}]}]},{"description":"E-SCREW TI 1.5 400.734-742","code_information":[{"code":"70556880","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":544.32,"maximum":957.6,"gross_charge":1008,"discounted_cash":686.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":544.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":907.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":645.12,"methodology":"fee schedule"}]}]},{"description":"E-SCREW TI 1.5 400.734-742","code_information":[{"code":"70556880","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":328.11,"maximum":957.6,"gross_charge":1008,"discounted_cash":686.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":564.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":856.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":907.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":328.11,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR 1.7 400.653-58","code_information":[{"code":"70556885","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":353.16,"maximum":621.3,"gross_charge":654,"discounted_cash":445.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":353.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":418.56,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR 1.7 400.653-58","code_information":[{"code":"70556885","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":212.88,"maximum":621.3,"gross_charge":654,"discounted_cash":445.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":366.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":588.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":621.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.88,"methodology":"fee schedule"}]}]},{"description":"E-SCREW TI 1.3 400.623-628","code_information":[{"code":"70556890","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":161.46,"maximum":284.05,"gross_charge":299,"discounted_cash":203.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":254.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":269.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":203.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.36,"methodology":"fee schedule"}]}]},{"description":"E-SCREW TI 1.3 400.623-628","code_information":[{"code":"70556890","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":97.33,"maximum":284.05,"gross_charge":299,"discounted_cash":203.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":254.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":269.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":97.33,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR 2.0 400.784-92","code_information":[{"code":"70556895","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":150.66,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"}]}]},{"description":"E-SCW TI EMR 2.0 400.784-92","code_information":[{"code":"70556895","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":90.82,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.82,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS CMPRN SCW 280.990","code_information":[{"code":"70556910","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":118.26,"maximum":208.05,"gross_charge":219,"discounted_cash":149.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS CMPRN SCW 280.990","code_information":[{"code":"70556910","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":71.29,"maximum":208.05,"gross_charge":219,"discounted_cash":149.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":71.29,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS LAG SCEW 12.7M","code_information":[{"code":"70556915","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":632.34,"maximum":1112.45,"gross_charge":1171,"discounted_cash":797.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":632.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":995.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":796.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":749.44,"methodology":"fee schedule"}]}]},{"description":"ORTH DHS/DCS LAG SCEW 12.7M","code_information":[{"code":"70556915","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":381.17,"maximum":1112.45,"gross_charge":1171,"discounted_cash":797.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":936.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":655.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":995.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":468.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":444.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":381.17,"methodology":"fee schedule"}]}]},{"description":"ORTH FLAP RPR KIT(AR4009S)","code_information":[{"code":"70556921","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":474.12,"maximum":834.1,"gross_charge":878,"discounted_cash":598.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":702.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":474.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":746.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":790.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":597.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":561.92,"methodology":"fee schedule"}]}]},{"description":"ORTH FLAP RPR KIT(AR4009S)","code_information":[{"code":"70556921","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":285.79,"maximum":834.1,"gross_charge":878,"discounted_cash":598.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":702.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":491.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":746.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":790.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":351.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":834.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":333.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":285.79,"methodology":"fee schedule"}]}]},{"description":"ORTH MENISCAL PLYSRB STPLR","code_information":[{"code":"70556924","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":389.34,"maximum":684.95,"gross_charge":721,"discounted_cash":491.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":490.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":461.44,"methodology":"fee schedule"}]}]},{"description":"ORTH MENISCAL PLYSRB STPLR","code_information":[{"code":"70556924","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":234.69,"maximum":684.95,"gross_charge":721,"discounted_cash":491.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":403.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":288.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":234.69,"methodology":"fee schedule"}]}]},{"description":"ORTH WASHR GEOFIT","code_information":[{"code":"70556930","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":554.58,"maximum":975.65,"gross_charge":1027,"discounted_cash":699.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":821.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":554.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":872.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":924.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":698.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":657.28,"methodology":"fee schedule"}]}]},{"description":"ORTH WASHR GEOFIT","code_information":[{"code":"70556930","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":334.29,"maximum":975.65,"gross_charge":1027,"discounted_cash":699.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":821.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":575.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":872.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":924.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":410.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":975.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":390.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":334.29,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW SCHNZ FIX LG S294","code_information":[{"code":"70556935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":196.56,"maximum":345.8,"gross_charge":364,"discounted_cash":247.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":291.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":309.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":327.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":247.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.96,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW SCHNZ FIX LG S294","code_information":[{"code":"70556935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":118.49,"maximum":345.8,"gross_charge":364,"discounted_cash":247.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":291.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":309.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":327.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.49,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW SCHNZ FIX LG S294","code_information":[{"code":"70556940","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":231.12,"maximum":406.6,"gross_charge":428,"discounted_cash":291.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":231.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":363.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":385.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":291.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.92,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW SCHNZ FIX LG S294","code_information":[{"code":"70556940","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":139.32,"maximum":406.6,"gross_charge":428,"discounted_cash":291.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":342.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":363.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":385.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":406.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"}]}]},{"description":"ORTH BIO SCRW TENODSIS 7X23","code_information":[{"code":"70556941","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":628.56,"maximum":1105.8,"gross_charge":1164,"discounted_cash":792.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":931.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":989.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":791.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":744.96,"methodology":"fee schedule"}]}]},{"description":"ORTH BIO SCRW TENODSIS 7X23","code_information":[{"code":"70556941","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":378.89,"maximum":1105.8,"gross_charge":1164,"discounted_cash":792.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":931.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":651.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":989.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":442.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":378.89,"methodology":"fee schedule"}]}]},{"description":"ORTH BIO REPAIR KIT TENODESIS","code_information":[{"code":"70556943","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":387.18,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":387.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"}]}]},{"description":"ORTH BIO REPAIR KIT TENODESIS","code_information":[{"code":"70556943","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":233.39,"maximum":681.15,"gross_charge":717,"discounted_cash":488.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":573.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":609.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":645.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":286.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":681.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":233.39,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW 3 HDLS SH2.226.10-22","code_information":[{"code":"70556951","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":682.02,"maximum":1199.85,"gross_charge":1263,"discounted_cash":860.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1010.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":682.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":858.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":808.32,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW 3 HDLS SH2.226.10-22","code_information":[{"code":"70556951","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":411.11,"maximum":1199.85,"gross_charge":1263,"discounted_cash":860.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1010.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":707.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1073.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":505.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":479.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":411.11,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW ACFX SLK 7025/80-","code_information":[{"code":"70556952","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":304.02,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":382.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":360.32,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW ACFX SLK 7025/80-","code_information":[{"code":"70556952","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":183.26,"maximum":534.85,"gross_charge":563,"discounted_cash":383.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":315.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":478.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":506.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":225.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":534.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":183.26,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW 3 HDLS LG 023-040","code_information":[{"code":"70556953","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":495.18,"maximum":871.15,"gross_charge":917,"discounted_cash":624.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":733.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":495.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":779.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":825.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":623.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":586.88,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW 3 HDLS LG 023-040","code_information":[{"code":"70556953","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":298.49,"maximum":871.15,"gross_charge":917,"discounted_cash":624.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":733.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":513.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":779.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":825.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":366.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":871.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":298.49,"methodology":"fee schedule"}]}]},{"description":"SCROTUM SUPPORT S/M/L(C+2)","code_information":[{"code":"70556955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.96,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"}]}]},{"description":"SCROTUM SUPPORT S/M/L(C+2)","code_information":[{"code":"70556955","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.82,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.82,"methodology":"fee schedule"}]}]},{"description":"SPONGE TONSIL/PKG","code_information":[{"code":"70556970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.98,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.68,"methodology":"fee schedule"}]}]},{"description":"SPONGE TONSIL/PKG","code_information":[{"code":"70556970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.05,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.05,"methodology":"fee schedule"}]}]},{"description":"SURE CLOSURE","code_information":[{"code":"70556972","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1004.4,"maximum":1767,"gross_charge":1860,"discounted_cash":1267.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1190.4,"methodology":"fee schedule"}]}]},{"description":"SURE CLOSURE","code_information":[{"code":"70556972","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":605.43,"maximum":1767,"gross_charge":1860,"discounted_cash":1267.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":744,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":605.43,"methodology":"fee schedule"}]}]},{"description":"STPLR INTRM CRVE/CDH25933","code_information":[{"code":"70556980","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":550.26,"maximum":968.05,"gross_charge":1019,"discounted_cash":694.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":815.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":550.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":866.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":917.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":692.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":652.16,"methodology":"fee schedule"}]}]},{"description":"STPLR INTRM CRVE/CDH25933","code_information":[{"code":"70556980","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":331.69,"maximum":968.05,"gross_charge":1019,"discounted_cash":694.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":815.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":570.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":866.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":917.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":407.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":331.69,"methodology":"fee schedule"}]}]},{"description":"STPLR VASC ECHLN PWR (PVE35A)","code_information":[{"code":"70556981","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":665.82,"maximum":1171.35,"gross_charge":1233,"discounted_cash":839.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":986.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1109.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":838.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":789.12,"methodology":"fee schedule"}]}]},{"description":"STPLR VASC ECHLN PWR (PVE35A)","code_information":[{"code":"70556981","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":401.35,"maximum":1171.35,"gross_charge":1233,"discounted_cash":839.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":986.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":690.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1109.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":493.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1171.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":401.35,"methodology":"fee schedule"}]}]},{"description":"STPLR RELD VASC ECHLN(VASECR35","code_information":[{"code":"70556982","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":349.92,"maximum":615.6,"gross_charge":648,"discounted_cash":441.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":349.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":583.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":440.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.72,"methodology":"fee schedule"}]}]},{"description":"STPLR RELD VASC ECHLN(VASECR35","code_information":[{"code":"70556982","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":210.93,"maximum":615.6,"gross_charge":648,"discounted_cash":441.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":362.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":583.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":210.93,"methodology":"fee schedule"}]}]},{"description":"STPLR ECHLN 60 (PSEE60A)","code_information":[{"code":"70556983","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":793.26,"maximum":1395.55,"gross_charge":1469,"discounted_cash":1000.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":793.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1248.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":998.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":940.16,"methodology":"fee schedule"}]}]},{"description":"STPLR ECHLN 60 (PSEE60A)","code_information":[{"code":"70556983","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":478.16,"maximum":1395.55,"gross_charge":1469,"discounted_cash":1000.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1175.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":822.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1248.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":587.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":558.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":478.16,"methodology":"fee schedule"}]}]},{"description":"STPLR RELD GST G/G(GST60D/60G)","code_information":[{"code":"70556984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1082.16,"maximum":1903.8,"gross_charge":2004,"discounted_cash":1365.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1082.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1703.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1362.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1282.56,"methodology":"fee schedule"}]}]},{"description":"STPLR RELD GST G/G(GST60D/60G)","code_information":[{"code":"70556984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":652.31,"maximum":1903.8,"gross_charge":2004,"discounted_cash":1365.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1703.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":801.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1903.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":761.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":652.31,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT SAF PROX(TLC10)","code_information":[{"code":"70556992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":422.28,"maximum":742.9,"gross_charge":782,"discounted_cash":532.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":625.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":664.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":703.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":531.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":500.48,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT SAF PROX(TLC10)","code_information":[{"code":"70556992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":254.55,"maximum":742.9,"gross_charge":782,"discounted_cash":532.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":625.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":437.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":664.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":703.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":312.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":297.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":254.55,"methodology":"fee schedule"}]}]},{"description":"STAPLE SKIN - ABSORBABLE","code_information":[{"code":"70556993","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":104.22,"maximum":183.35,"gross_charge":193,"discounted_cash":131.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":154.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":173.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":131.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.52,"methodology":"fee schedule"}]}]},{"description":"STAPLE SKIN - ABSORBABLE","code_information":[{"code":"70556993","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.83,"maximum":183.35,"gross_charge":193,"discounted_cash":131.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":154.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":164.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":173.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":77.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":62.83,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDO LIN CUT (ATS45)","code_information":[{"code":"70556996","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":456.3,"maximum":802.75,"gross_charge":845,"discounted_cash":575.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":676,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":456.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":718.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":760.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":574.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":540.8,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDO LIN CUT (ATS45)","code_information":[{"code":"70556996","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":275.05,"maximum":802.75,"gross_charge":845,"discounted_cash":575.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":676,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":473.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":718.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":760.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":338,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":275.05,"methodology":"fee schedule"}]}]},{"description":"STAPLER (HEMORRHOID) PPH03","code_information":[{"code":"70556999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":789.48,"maximum":1388.9,"gross_charge":1462,"discounted_cash":995.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":789.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1242.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":994.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":935.68,"methodology":"fee schedule"}]}]},{"description":"STAPLER (HEMORRHOID) PPH03","code_information":[{"code":"70556999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":475.89,"maximum":1388.9,"gross_charge":1462,"discounted_cash":995.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1169.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":818.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1242.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":555.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":475.89,"methodology":"fee schedule"}]}]},{"description":"ORTH SMNPW SPK BNE STPL14-11-7","code_information":[{"code":"70557003","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":349.92,"maximum":615.6,"gross_charge":648,"discounted_cash":441.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":349.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":583.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":440.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.72,"methodology":"fee schedule"}]}]},{"description":"ORTH SMNPW SPK BNE STPL14-11-7","code_information":[{"code":"70557003","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":210.93,"maximum":615.6,"gross_charge":648,"discounted_cash":441.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":362.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":583.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":210.93,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER 60-3.5/4.8(ETHCN)","code_information":[{"code":"70557025","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":196.02,"maximum":344.85,"gross_charge":363,"discounted_cash":247.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER 60-3.5/4.8(ETHCN)","code_information":[{"code":"70557025","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":118.16,"maximum":344.85,"gross_charge":363,"discounted_cash":247.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.16,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TL90)","code_information":[{"code":"70557030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":213.84,"maximum":376.2,"gross_charge":396,"discounted_cash":269.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":213.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":356.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":269.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TL90)","code_information":[{"code":"70557030","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":128.9,"maximum":376.2,"gross_charge":396,"discounted_cash":269.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":336.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":356.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":128.9,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER 30-3.5/4.8(ETHCN)","code_information":[{"code":"70557035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":192.78,"maximum":339.15,"gross_charge":357,"discounted_cash":243.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":303.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":321.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.48,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER 30-3.5/4.8(ETHCN)","code_information":[{"code":"70557035","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":116.21,"maximum":339.15,"gross_charge":357,"discounted_cash":243.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":303.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":321.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":116.21,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TX30G)","code_information":[{"code":"70557045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":189,"maximum":332.5,"gross_charge":350,"discounted_cash":238.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":280,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":297.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":238,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":224,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TX30G)","code_information":[{"code":"70557045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":113.93,"maximum":332.5,"gross_charge":350,"discounted_cash":238.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":280,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":196,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":297.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":315,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":113.93,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TX30V)","code_information":[{"code":"70557047","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":208.44,"maximum":366.7,"gross_charge":386,"discounted_cash":262.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":208.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":347.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":262.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.04,"methodology":"fee schedule"}]}]},{"description":"LINR STAPLER (TX30V)","code_information":[{"code":"70557047","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":125.65,"maximum":366.7,"gross_charge":386,"discounted_cash":262.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":308.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":216.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":328.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":347.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":125.65,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT-SUNDT(NL850-BAXT","code_information":[{"code":"70557075","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":277.02,"maximum":487.35,"gross_charge":513,"discounted_cash":349.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":348.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":328.32,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT-SUNDT(NL850-BAXT","code_information":[{"code":"70557075","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":166.99,"maximum":487.35,"gross_charge":513,"discounted_cash":349.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":287.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":436.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":487.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":194.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":166.99,"methodology":"fee schedule"}]}]},{"description":"ORTH SURGILV FMRL BRSH20754","code_information":[{"code":"70557095","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":129.06,"maximum":227.05,"gross_charge":239,"discounted_cash":162.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":191.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":203.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":215.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":162.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.96,"methodology":"fee schedule"}]}]},{"description":"ORTH SURGILV FMRL BRSH20754","code_information":[{"code":"70557095","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.8,"maximum":227.05,"gross_charge":239,"discounted_cash":162.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":191.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":203.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":215.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.8,"methodology":"fee schedule"}]}]},{"description":"SUTURE - MENISCUS/PDS","code_information":[{"code":"70557115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":221.94,"maximum":390.45,"gross_charge":411,"discounted_cash":280,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":328.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":349.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":369.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":279.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"}]}]},{"description":"SUTURE - MENISCUS/PDS","code_information":[{"code":"70557115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":133.79,"maximum":390.45,"gross_charge":411,"discounted_cash":280,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":328.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":349.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":369.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":164.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":133.79,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL ARTHSCP SHDLR 7X7","code_information":[{"code":"70557120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":83.16,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":98.56,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL ARTHSCP SHDLR 7X7","code_information":[{"code":"70557120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":50.13,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":50.13,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL PASSPRT 8X4","code_information":[{"code":"70557131","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.1,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"}]}]},{"description":"ORTH CANUL PASSPRT 8X4","code_information":[{"code":"70557131","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.71,"maximum":156.75,"gross_charge":165,"discounted_cash":112.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":132,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":140.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":53.71,"methodology":"fee schedule"}]}]},{"description":"ORTH CRVTEK CARTRDGE/SUTR","code_information":[{"code":"70557148","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1094.04,"maximum":1924.7,"gross_charge":2026,"discounted_cash":1380.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1620.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1094.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1823.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1377.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1296.64,"methodology":"fee schedule"}]}]},{"description":"ORTH CRVTEK CARTRDGE/SUTR","code_information":[{"code":"70557148","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":659.47,"maximum":1924.7,"gross_charge":2026,"discounted_cash":1380.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1620.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1823.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":810.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":769.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":659.47,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTR NDLE ACUFX7207034","code_information":[{"code":"70557150","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":123.66,"maximum":217.55,"gross_charge":229,"discounted_cash":156.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":183.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":123.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":206.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":155.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.56,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTR NDLE ACUFX7207034","code_information":[{"code":"70557150","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":74.54,"maximum":217.55,"gross_charge":229,"discounted_cash":156.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":183.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":194.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":206.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":74.54,"methodology":"fee schedule"}]}]},{"description":"ORTH CINCH MENISAL SYS AR-4500","code_information":[{"code":"70557152","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":659.34,"maximum":1159.95,"gross_charge":1221,"discounted_cash":831.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":659.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":830.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":781.44,"methodology":"fee schedule"}]}]},{"description":"ORTH CINCH MENISAL SYS AR-4500","code_information":[{"code":"70557152","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":397.44,"maximum":1159.95,"gross_charge":1221,"discounted_cash":831.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":976.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":683.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":488.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1159.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":463.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":397.44,"methodology":"fee schedule"}]}]},{"description":"SUTR-GYN GORTX CAPIO (M2U28A)","code_information":[{"code":"70557172","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":82.08,"maximum":144.4,"gross_charge":152,"discounted_cash":103.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":82.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":103.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.28,"methodology":"fee schedule"}]}]},{"description":"SUTR-GYN GORTX CAPIO (M2U28A)","code_information":[{"code":"70557172","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.48,"maximum":144.4,"gross_charge":152,"discounted_cash":103.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":49.48,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTURE KIT PARS","code_information":[{"code":"70557174","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1332.72,"maximum":2344.6,"gross_charge":2468,"discounted_cash":1681.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1974.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1332.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2097.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2221.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1678.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1579.52,"methodology":"fee schedule"}]}]},{"description":"ORTH SUTURE KIT PARS","code_information":[{"code":"70557174","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":803.34,"maximum":2344.6,"gross_charge":2468,"discounted_cash":1681.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1974.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2097.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2221.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":987.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":937.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":803.34,"methodology":"fee schedule"}]}]},{"description":"ORTH TRNSFX GRFT PSS WR SET","code_information":[{"code":"70557180","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":352.62,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":444.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":417.92,"methodology":"fee schedule"}]}]},{"description":"ORTH TRNSFX GRFT PSS WR SET","code_information":[{"code":"70557180","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":212.56,"maximum":620.35,"gross_charge":653,"discounted_cash":444.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":522.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":555.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":587.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":261.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":620.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.56,"methodology":"fee schedule"}]}]},{"description":"ORTH TRNSFX 1.1 NITNOL WIRE","code_information":[{"code":"70557186","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.8,"maximum":114,"gross_charge":120,"discounted_cash":81.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"}]}]},{"description":"ORTH TRNSFX 1.1 NITNOL WIRE","code_information":[{"code":"70557186","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.06,"maximum":114,"gross_charge":120,"discounted_cash":81.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":39.06,"methodology":"fee schedule"}]}]},{"description":"SUTURE - SPECIALTY II/CV","code_information":[{"code":"70557230","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":228.42,"maximum":401.85,"gross_charge":423,"discounted_cash":288.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":228.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":287.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":270.72,"methodology":"fee schedule"}]}]},{"description":"SUTURE - SPECIALTY II/CV","code_information":[{"code":"70557230","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":137.69,"maximum":401.85,"gross_charge":423,"discounted_cash":288.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":359.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":137.69,"methodology":"fee schedule"}]}]},{"description":"SUTURE-PROL 0-18IN (C821G)","code_information":[{"code":"70557231","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.94,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"}]}]},{"description":"SUTURE-PROL 0-18IN (C821G)","code_information":[{"code":"70557231","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.86,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"}]}]},{"description":"SUTR-PROL 10-0 CIF4DA BLU(788G","code_information":[{"code":"70557234","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.7,"maximum":99.75,"gross_charge":105,"discounted_cash":71.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":89.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":94.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":71.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"}]}]},{"description":"SUTR-PROL 10-0 CIF4DA BLU(788G","code_information":[{"code":"70557234","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.18,"maximum":99.75,"gross_charge":105,"discounted_cash":71.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":89.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":94.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":34.18,"methodology":"fee schedule"}]}]},{"description":"SUTURE - EYE","code_information":[{"code":"70557235","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.34,"maximum":257.45,"gross_charge":271,"discounted_cash":184.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":216.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":230.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":243.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":184.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.44,"methodology":"fee schedule"}]}]},{"description":"SUTURE - EYE","code_information":[{"code":"70557235","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.22,"maximum":257.45,"gross_charge":271,"discounted_cash":184.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":216.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":230.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":243.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":88.22,"methodology":"fee schedule"}]}]},{"description":"SUTURE STRATAFIX(SXPP1A200/201","code_information":[{"code":"70557241","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":71.82,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"}]}]},{"description":"SUTURE STRATAFIX(SXPP1A200/201","code_information":[{"code":"70557241","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":43.3,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.3,"methodology":"fee schedule"}]}]},{"description":"SUT STRTFX-0 (SXPP1A406)","code_information":[{"code":"70557242","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":71.28,"maximum":125.4,"gross_charge":132,"discounted_cash":89.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"}]}]},{"description":"SUT STRTFX-0 (SXPP1A406)","code_information":[{"code":"70557242","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.97,"maximum":125.4,"gross_charge":132,"discounted_cash":89.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":42.97,"methodology":"fee schedule"}]}]},{"description":"SUTURE-FBRWIRE (AR-7211)","code_information":[{"code":"70557247","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":115.56,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.96,"methodology":"fee schedule"}]}]},{"description":"SUTURE-FBRWIRE (AR-7211)","code_information":[{"code":"70557247","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":69.66,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"}]}]},{"description":"SUT FBRWIRE 2 38IN (AR7208)","code_information":[{"code":"70557262","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":138.24,"maximum":243.2,"gross_charge":256,"discounted_cash":174.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":204.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":174.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.84,"methodology":"fee schedule"}]}]},{"description":"SUT FBRWIRE 2 38IN (AR7208)","code_information":[{"code":"70557262","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":83.33,"maximum":243.2,"gross_charge":256,"discounted_cash":174.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":204.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":217.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":83.33,"methodology":"fee schedule"}]}]},{"description":"SUT FBRLOOP 2-0 (AR723202)","code_information":[{"code":"70557266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.44,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"}]}]},{"description":"SUT FBRLOOP 2-0 (AR723202)","code_information":[{"code":"70557266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.27,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.27,"methodology":"fee schedule"}]}]},{"description":"SUT FBR LOOP #2 W/FT(AR7264)","code_information":[{"code":"70557267","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":313.2,"maximum":551,"gross_charge":580,"discounted_cash":395.13,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":313.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":394.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":371.2,"methodology":"fee schedule"}]}]},{"description":"SUT FBR LOOP #2 W/FT(AR7264)","code_information":[{"code":"70557267","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":188.79,"maximum":551,"gross_charge":580,"discounted_cash":395.13,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":464,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":324.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":493,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":522,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":232,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":551,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":188.79,"methodology":"fee schedule"}]}]},{"description":"SUT-STRTFX SPRL (SXPD2B420)","code_information":[{"code":"70557272","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.74,"maximum":124.45,"gross_charge":131,"discounted_cash":89.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.84,"methodology":"fee schedule"}]}]},{"description":"SUT-STRTFX SPRL (SXPD2B420)","code_information":[{"code":"70557272","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.65,"maximum":124.45,"gross_charge":131,"discounted_cash":89.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":104.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":111.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":117.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":42.65,"methodology":"fee schedule"}]}]},{"description":"ORTH RETROSCREW ALL SIZES","code_information":[{"code":"70557311","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":463.86,"maximum":816.05,"gross_charge":859,"discounted_cash":585.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":687.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":463.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":730.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":773.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":549.76,"methodology":"fee schedule"}]}]},{"description":"ORTH RETROSCREW ALL SIZES","code_information":[{"code":"70557311","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":279.61,"maximum":816.05,"gross_charge":859,"discounted_cash":585.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":687.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":730.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":773.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":343.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":326.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":279.61,"methodology":"fee schedule"}]}]},{"description":"ORTH TOURNQUT 24SNGL STRL","code_information":[{"code":"70557320","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":293.22,"maximum":515.85,"gross_charge":543,"discounted_cash":369.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":434.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":461.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":488.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":369.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":347.52,"methodology":"fee schedule"}]}]},{"description":"ORTH TOURNQUT 24SNGL STRL","code_information":[{"code":"70557320","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":176.75,"maximum":515.85,"gross_charge":543,"discounted_cash":369.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":434.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":304.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":461.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":488.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":217.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":515.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":176.75,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE PORTEX ALL","code_information":[{"code":"70557325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":230.58,"maximum":405.65,"gross_charge":427,"discounted_cash":290.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":341.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":230.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":384.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":290.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.28,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE PORTEX ALL","code_information":[{"code":"70557325","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":138.99,"maximum":405.65,"gross_charge":427,"discounted_cash":290.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":341.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":239.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":362.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":384.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":138.99,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE SHILEY PEDS/NEO-","code_information":[{"code":"70557337","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":81,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"}]}]},{"description":"TRACH TUBE SHILEY PEDS/NEO-","code_information":[{"code":"70557337","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.83,"maximum":142.5,"gross_charge":150,"discounted_cash":102.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":127.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.83,"methodology":"fee schedule"}]}]},{"description":"ENT COBLATION TIP EICA887201","code_information":[{"code":"70557345","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":644.76,"maximum":1134.3,"gross_charge":1194,"discounted_cash":813.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":955.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":644.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1014.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1074.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":811.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":764.16,"methodology":"fee schedule"}]}]},{"description":"ENT COBLATION TIP EICA887201","code_information":[{"code":"70557345","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":388.65,"maximum":1134.3,"gross_charge":1194,"discounted_cash":813.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":955.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":668.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1014.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1074.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":477.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":453.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":388.65,"methodology":"fee schedule"}]}]},{"description":"ENT COBLATN ULTRA45 EIC4845","code_information":[{"code":"70557350","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":221.4,"maximum":389.5,"gross_charge":410,"discounted_cash":279.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":328,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":369,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":278.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":262.4,"methodology":"fee schedule"}]}]},{"description":"ENT COBLATN ULTRA45 EIC4845","code_information":[{"code":"70557350","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":133.46,"maximum":389.5,"gross_charge":410,"discounted_cash":279.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":328,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":369,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":133.46,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE REUTER BOBN(EAR)14","code_information":[{"code":"70557355","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":135.54,"maximum":238.45,"gross_charge":251,"discounted_cash":171,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":135.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":213.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.64,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE REUTER BOBN(EAR)14","code_information":[{"code":"70557355","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":81.71,"maximum":238.45,"gross_charge":251,"discounted_cash":171,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":213.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.71,"methodology":"fee schedule"}]}]},{"description":"ENT VENT REUT BOB EAR (14401","code_information":[{"code":"70557356","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":74.52,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"}]}]},{"description":"ENT VENT REUT BOB EAR (14401","code_information":[{"code":"70557356","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":44.92,"maximum":131.1,"gross_charge":138,"discounted_cash":94.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.92,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE DONALDSON","code_information":[{"code":"70557360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":52.38,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.08,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE DONALDSON","code_information":[{"code":"70557360","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":31.58,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.58,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE PAPARLLA","code_information":[{"code":"70557365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":277.56,"maximum":488.3,"gross_charge":514,"discounted_cash":350.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":411.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":277.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":436.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":462.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":349.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":328.96,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE PAPARLLA","code_information":[{"code":"70557365","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":167.31,"maximum":488.3,"gross_charge":514,"discounted_cash":350.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":411.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":287.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":436.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":462.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":205.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":488.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":195.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":167.31,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE T-MODIFIED RCHD240","code_information":[{"code":"70557370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":292.14,"maximum":513.95,"gross_charge":541,"discounted_cash":368.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":432.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":292.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":459.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":486.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":367.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":346.24,"methodology":"fee schedule"}]}]},{"description":"ENT TUBE T-MODIFIED RCHD240","code_information":[{"code":"70557370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":176.1,"maximum":513.95,"gross_charge":541,"discounted_cash":368.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":432.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":302.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":459.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":486.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":216.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":513.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":176.1,"methodology":"fee schedule"}]}]},{"description":"ENT EPIFILM","code_information":[{"code":"70557375","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":428.22,"maximum":753.35,"gross_charge":793,"discounted_cash":540.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":634.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":674.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":713.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":539.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":507.52,"methodology":"fee schedule"}]}]},{"description":"ENT EPIFILM","code_information":[{"code":"70557375","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":258.13,"maximum":753.35,"gross_charge":793,"discounted_cash":540.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":634.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":444.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":674.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":713.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":317.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":753.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":301.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":258.13,"methodology":"fee schedule"}]}]},{"description":"URTRL CATH-SPIRL TIP 13505","code_information":[{"code":"70557410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":128.52,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"}]}]},{"description":"URTRL CATH-SPIRL TIP 13505","code_information":[{"code":"70557410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.47,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.47,"methodology":"fee schedule"}]}]},{"description":"GYN VAGINAL PACKING","code_information":[{"code":"70557455","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.8,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"}]}]},{"description":"GYN VAGINAL PACKING","code_information":[{"code":"70557455","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.51,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.51,"methodology":"fee schedule"}]}]},{"description":"SHUNT PAK CAREFSN DEVR(422020)","code_information":[{"code":"70557473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3995.46,"maximum":7029.05,"gross_charge":7399,"discounted_cash":5040.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5919.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3995.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6289.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6659.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5031.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":4735.36,"methodology":"fee schedule"}]}]},{"description":"SHUNT PAK CAREFSN DEVR(422020)","code_information":[{"code":"70557473","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2408.38,"maximum":7029.05,"gross_charge":7399,"discounted_cash":5040.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":5919.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4143.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6289.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":6659.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2959.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7029.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2811.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2408.38,"methodology":"fee schedule"}]}]},{"description":"LF WASHER 13.0MM 219.99","code_information":[{"code":"70557475","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":76.68,"maximum":134.9,"gross_charge":142,"discounted_cash":96.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":113.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":127.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.88,"methodology":"fee schedule"}]}]},{"description":"LF WASHER 13.0MM 219.99","code_information":[{"code":"70557475","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":46.23,"maximum":134.9,"gross_charge":142,"discounted_cash":96.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":113.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":120.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":127.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":134.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT KT 6IN (8888577775)","code_information":[{"code":"70557476","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":83.16,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":98.56,"methodology":"fee schedule"}]}]},{"description":"VASC SHUNT KT 6IN (8888577775)","code_information":[{"code":"70557476","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":50.13,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":50.13,"methodology":"fee schedule"}]}]},{"description":"ORTH LABRAL-TAPE WH/BK(AR7276T","code_information":[{"code":"70557498","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":175.5,"maximum":308.75,"gross_charge":325,"discounted_cash":221.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":276.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":221,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":208,"methodology":"fee schedule"}]}]},{"description":"ORTH LABRAL-TAPE WH/BK(AR7276T","code_information":[{"code":"70557498","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":105.79,"maximum":308.75,"gross_charge":325,"discounted_cash":221.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":276.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":130,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.79,"methodology":"fee schedule"}]}]},{"description":"ORTH WIR CRCLGE280M SFTS291","code_information":[{"code":"70557520","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":35.64,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"}]}]},{"description":"ORTH WIR CRCLGE280M SFTS291","code_information":[{"code":"70557520","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":21.49,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.49,"methodology":"fee schedule"}]}]},{"description":"ORTH WIR CRCLGE600M SFTS291","code_information":[{"code":"70557525","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":55.08,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":69.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"}]}]},{"description":"ORTH WIR CRCLGE600M SFTS291","code_information":[{"code":"70557525","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":33.21,"maximum":96.9,"gross_charge":102,"discounted_cash":69.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":86.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.21,"methodology":"fee schedule"}]}]},{"description":"GYN FRCP CUT HALO 5MM","code_information":[{"code":"70557545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1022.22,"maximum":1798.35,"gross_charge":1893,"discounted_cash":1289.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1514.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1022.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1609.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1703.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1287.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1211.52,"methodology":"fee schedule"}]}]},{"description":"GYN FRCP CUT HALO 5MM","code_information":[{"code":"70557545","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":616.18,"maximum":1798.35,"gross_charge":1893,"discounted_cash":1289.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1514.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1060.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1609.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1703.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":757.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":719.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":616.18,"methodology":"fee schedule"}]}]},{"description":"GYN TROCAR BLDELSS SLV8X100","code_information":[{"code":"70557547","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":117.18,"maximum":206.15,"gross_charge":217,"discounted_cash":147.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":184.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":195.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":147.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.88,"methodology":"fee schedule"}]}]},{"description":"GYN TROCAR BLDELSS SLV8X100","code_information":[{"code":"70557547","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.64,"maximum":206.15,"gross_charge":217,"discounted_cash":147.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":173.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":121.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":184.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":195.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":86.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":70.64,"methodology":"fee schedule"}]}]},{"description":"ENT STRGHT SHOT HAND-PIECE","code_information":[{"code":"70557560","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":410.94,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":517.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.04,"methodology":"fee schedule"}]}]},{"description":"ENT STRGHT SHOT HAND-PIECE","code_information":[{"code":"70557560","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":247.71,"maximum":722.95,"gross_charge":761,"discounted_cash":518.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":608.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":426.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":646.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":684.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":304.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":247.71,"methodology":"fee schedule"}]}]},{"description":"GYN SURGIFOAM 1978","code_information":[{"code":"70557567","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":165.78,"maximum":291.65,"gross_charge":307,"discounted_cash":209.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":245.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":165.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":276.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":208.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.48,"methodology":"fee schedule"}]}]},{"description":"GYN SURGIFOAM 1978","code_information":[{"code":"70557567","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.93,"maximum":291.65,"gross_charge":307,"discounted_cash":209.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":245.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":171.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":276.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":99.93,"methodology":"fee schedule"}]}]},{"description":"GYN DIODE LASER W/HNDPC+GAS CT","code_information":[{"code":"70557571","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":670.68,"maximum":1179.9,"gross_charge":1242,"discounted_cash":846.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":670.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1055.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":844.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":794.88,"methodology":"fee schedule"}]}]},{"description":"GYN DIODE LASER W/HNDPC+GAS CT","code_information":[{"code":"70557571","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":404.28,"maximum":1179.9,"gross_charge":1242,"discounted_cash":846.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":695.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1055.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1179.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":471.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":404.28,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR GAST MOBUS LG 22CM","code_information":[{"code":"70557573","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1111.32,"maximum":1955.1,"gross_charge":2058,"discounted_cash":1402,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1646.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1749.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1852.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1399.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1317.12,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR GAST MOBUS LG 22CM","code_information":[{"code":"70557573","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":669.88,"maximum":1955.1,"gross_charge":2058,"discounted_cash":1402,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1646.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1152.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1749.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1852.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":823.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1955.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":782.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":669.88,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR SPATULA PLSM 33CM","code_information":[{"code":"70557574","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":648,"maximum":1140,"gross_charge":1200,"discounted_cash":817.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":960,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1020,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1080,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":816,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":768,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR SPATULA PLSM 33CM","code_information":[{"code":"70557574","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":390.6,"maximum":1140,"gross_charge":1200,"discounted_cash":817.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":960,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":672,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1020,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1080,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1140,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":390.6,"methodology":"fee schedule"}]}]},{"description":"GYN STAPLER ROTIC TA55 0.17MM","code_information":[{"code":"70557575","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1814.4,"maximum":3192,"gross_charge":3360,"discounted_cash":2288.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2688,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1814.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2856,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3024,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2284.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2150.4,"methodology":"fee schedule"}]}]},{"description":"GYN STAPLER ROTIC TA55 0.17MM","code_information":[{"code":"70557575","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1093.68,"maximum":3192,"gross_charge":3360,"discounted_cash":2288.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2688,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2856,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3024,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1276.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1093.68,"methodology":"fee schedule"}]}]},{"description":"GYN STAPLER ROTIC (013601)","code_information":[{"code":"70557576","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1544.4,"maximum":2717,"gross_charge":2860,"discounted_cash":1948.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2288,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1544.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2431,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2574,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1944.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1830.4,"methodology":"fee schedule"}]}]},{"description":"GYN STAPLER ROTIC (013601)","code_information":[{"code":"70557576","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":930.93,"maximum":2717,"gross_charge":2860,"discounted_cash":1948.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2288,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1601.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2431,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2574,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1144,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2717,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1086.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":930.93,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR LRG 9-14CM (G6313)","code_information":[{"code":"70557578","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":140.94,"maximum":247.95,"gross_charge":261,"discounted_cash":177.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":208.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":234.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":177.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR LRG 9-14CM (G6313)","code_information":[{"code":"70557578","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":84.96,"maximum":247.95,"gross_charge":261,"discounted_cash":177.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":208.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":234.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":84.96,"methodology":"fee schedule"}]}]},{"description":"GYN SPATULA PLASMA (952005PK","code_information":[{"code":"70557579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":642.6,"maximum":1130.5,"gross_charge":1190,"discounted_cash":810.68,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":952,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1071,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":809.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":761.6,"methodology":"fee schedule"}]}]},{"description":"GYN SPATULA PLASMA (952005PK","code_information":[{"code":"70557579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":387.35,"maximum":1130.5,"gross_charge":1190,"discounted_cash":810.68,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":952,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":666.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1071,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":476,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":452.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":387.35,"methodology":"fee schedule"}]}]},{"description":"GYN NVSURE ABLATN W/SUSD KT","code_information":[{"code":"70557584","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2010.42,"maximum":3536.85,"gross_charge":3723,"discounted_cash":2536.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2978.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2010.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3164.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3350.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2531.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2382.72,"methodology":"fee schedule"}]}]},{"description":"GYN NVSURE ABLATN W/SUSD KT","code_information":[{"code":"70557584","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1211.84,"maximum":3536.85,"gross_charge":3723,"discounted_cash":2536.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2978.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2084.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3164.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3350.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1489.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3536.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1414.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1211.84,"methodology":"fee schedule"}]}]},{"description":"GYN ELECTRD LEEP LOOP 20X10MM","code_information":[{"code":"70557585","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":43.2,"maximum":76,"gross_charge":80,"discounted_cash":54.5,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"}]}]},{"description":"GYN ELECTRD LEEP LOOP 20X10MM","code_information":[{"code":"70557585","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":26.04,"maximum":76,"gross_charge":80,"discounted_cash":54.5,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":26.04,"methodology":"fee schedule"}]}]},{"description":"GYN HNDPCE LIG MRYLD JW(LF1737","code_information":[{"code":"70557588","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1008.18,"maximum":1773.65,"gross_charge":1867,"discounted_cash":1271.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1269.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1194.88,"methodology":"fee schedule"}]}]},{"description":"GYN HNDPCE LIG MRYLD JW(LF1737","code_information":[{"code":"70557588","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":607.71,"maximum":1773.65,"gross_charge":1867,"discounted_cash":1271.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1493.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1045.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1680.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":746.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":709.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":607.71,"methodology":"fee schedule"}]}]},{"description":"GYN LIGASURE SEALER DVDR 5MM","code_information":[{"code":"70557600","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1135.62,"maximum":1997.85,"gross_charge":2103,"discounted_cash":1432.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1682.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1787.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1430.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1345.92,"methodology":"fee schedule"}]}]},{"description":"GYN LIGASURE SEALER DVDR 5MM","code_information":[{"code":"70557600","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":684.53,"maximum":1997.85,"gross_charge":2103,"discounted_cash":1432.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1682.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1787.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1892.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":841.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1997.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":799.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":684.53,"methodology":"fee schedule"}]}]},{"description":"GYN ELECSURG FORC TRIVRS 10FT","code_information":[{"code":"70557601","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.18,"maximum":158.65,"gross_charge":167,"discounted_cash":113.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":133.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":150.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":113.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.88,"methodology":"fee schedule"}]}]},{"description":"GYN ELECSURG FORC TRIVRS 10FT","code_information":[{"code":"70557601","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.36,"maximum":158.65,"gross_charge":167,"discounted_cash":113.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":133.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":93.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":141.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":150.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.36,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR SET STAY(3118G)","code_information":[{"code":"70557603","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":145.8,"maximum":256.5,"gross_charge":270,"discounted_cash":183.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":145.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":243,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"}]}]},{"description":"GYN RETRCTR SET STAY(3118G)","code_information":[{"code":"70557603","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":87.89,"maximum":256.5,"gross_charge":270,"discounted_cash":183.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":229.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":243,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":87.89,"methodology":"fee schedule"}]}]},{"description":"GYN CANN ENDOCSP DIL(VS101012P","code_information":[{"code":"70557606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":332.1,"maximum":584.25,"gross_charge":615,"discounted_cash":418.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"}]}]},{"description":"GYN CANN ENDOCSP DIL(VS101012P","code_information":[{"code":"70557606","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":200.19,"maximum":584.25,"gross_charge":615,"discounted_cash":418.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":200.19,"methodology":"fee schedule"}]}]},{"description":"GB TAUT SYSTEM-1 KIT","code_information":[{"code":"70557650","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1044.36,"maximum":1837.3,"gross_charge":1934,"discounted_cash":1317.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1315.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1237.76,"methodology":"fee schedule"}]}]},{"description":"GB TAUT SYSTEM-1 KIT","code_information":[{"code":"70557650","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":629.52,"maximum":1837.3,"gross_charge":1934,"discounted_cash":1317.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1547.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1083.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1740.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":773.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1837.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":734.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":629.52,"methodology":"fee schedule"}]}]},{"description":"GB TAUT BILRY BASKET 50024","code_information":[{"code":"70557651","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":543.24,"maximum":955.7,"gross_charge":1006,"discounted_cash":685.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":804.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":543.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":855.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":905.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":684.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":643.84,"methodology":"fee schedule"}]}]},{"description":"GB TAUT BILRY BASKET 50024","code_information":[{"code":"70557651","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":327.46,"maximum":955.7,"gross_charge":1006,"discounted_cash":685.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":804.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":563.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":855.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":905.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":402.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":955.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":382.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":327.46,"methodology":"fee schedule"}]}]},{"description":"GB TAUT BALLOON CATH (50640)","code_information":[{"code":"70557655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":547.56,"maximum":963.3,"gross_charge":1014,"discounted_cash":690.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":811.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":547.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":861.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":912.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":689.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":648.96,"methodology":"fee schedule"}]}]},{"description":"GB TAUT BALLOON CATH (50640)","code_information":[{"code":"70557655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":330.06,"maximum":963.3,"gross_charge":1014,"discounted_cash":690.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":811.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":567.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":861.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":912.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":405.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":963.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":385.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":330.06,"methodology":"fee schedule"}]}]},{"description":"MH SCRW 2.4 400.506.96-513.","code_information":[{"code":"70557705","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":187.38,"maximum":329.65,"gross_charge":347,"discounted_cash":236.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":277.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":187.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":294.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":312.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":235.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.08,"methodology":"fee schedule"}]}]},{"description":"MH SCRW 2.4 400.506.96-513.","code_information":[{"code":"70557705","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":112.95,"maximum":329.65,"gross_charge":347,"discounted_cash":236.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":277.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":194.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":294.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":312.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":112.95,"methodology":"fee schedule"}]}]},{"description":"MH PLT 1.3 6H STR 421.306","code_information":[{"code":"70557706","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":424.44,"maximum":746.7,"gross_charge":786,"discounted_cash":535.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":424.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":668.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":707.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":534.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":503.04,"methodology":"fee schedule"}]}]},{"description":"MH PLT 1.3 6H STR 421.306","code_information":[{"code":"70557706","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":255.85,"maximum":746.7,"gross_charge":786,"discounted_cash":535.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":668.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":707.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.85,"methodology":"fee schedule"}]}]},{"description":"MH PLT 1.3 12H STR 421.312","code_information":[{"code":"70557707","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":535.68,"maximum":942.4,"gross_charge":992,"discounted_cash":675.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":793.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":843.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":674.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":634.88,"methodology":"fee schedule"}]}]},{"description":"MH PLT 1.3 12H STR 421.312","code_information":[{"code":"70557707","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":322.9,"maximum":942.4,"gross_charge":992,"discounted_cash":675.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":793.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":555.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":843.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":396.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":942.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":376.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":322.9,"methodology":"fee schedule"}]}]},{"description":"MH PLT EX.H 421.320-321","code_information":[{"code":"70557708","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":511.38,"maximum":899.65,"gross_charge":947,"discounted_cash":645.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":757.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":804.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":852.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":643.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":606.08,"methodology":"fee schedule"}]}]},{"description":"MH PLT EX.H 421.320-321","code_information":[{"code":"70557708","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":308.25,"maximum":899.65,"gross_charge":947,"discounted_cash":645.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":757.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":530.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":804.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":852.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":899.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":308.25,"methodology":"fee schedule"}]}]},{"description":"MH PLT 2.0 447.233","code_information":[{"code":"70557718","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":557.82,"maximum":981.35,"gross_charge":1033,"discounted_cash":703.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":826.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":557.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":878.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":929.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":702.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":661.12,"methodology":"fee schedule"}]}]},{"description":"MH PLT 2.0 447.233","code_information":[{"code":"70557718","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":336.25,"maximum":981.35,"gross_charge":1033,"discounted_cash":703.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":826.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":578.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":878.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":929.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":413.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":981.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":392.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":336.25,"methodology":"fee schedule"}]}]},{"description":"MH PLT-T 2.4 449.914","code_information":[{"code":"70557720","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":611.82,"maximum":1076.35,"gross_charge":1133,"discounted_cash":771.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":906.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":611.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":963.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":770.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":725.12,"methodology":"fee schedule"}]}]},{"description":"MH PLT-T 2.4 449.914","code_information":[{"code":"70557720","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":368.8,"maximum":1076.35,"gross_charge":1133,"discounted_cash":771.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":906.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":634.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":963.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":453.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1076.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":368.8,"methodology":"fee schedule"}]}]},{"description":"MH PLT-CND 2.0 449.916-917","code_information":[{"code":"70557724","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":669.06,"maximum":1177.05,"gross_charge":1239,"discounted_cash":844.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":669.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":842.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":792.96,"methodology":"fee schedule"}]}]},{"description":"MH PLT-CND 2.0 449.916-917","code_information":[{"code":"70557724","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":403.3,"maximum":1177.05,"gross_charge":1239,"discounted_cash":844.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":991.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":693.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":495.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1177.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":470.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":403.3,"methodology":"fee schedule"}]}]},{"description":"MH PLT 2.4 STR 449.912","code_information":[{"code":"70557730","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":603.18,"maximum":1061.15,"gross_charge":1117,"discounted_cash":760.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":893.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":603.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":949.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":759.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":714.88,"methodology":"fee schedule"}]}]},{"description":"MH PLT 2.4 STR 449.912","code_information":[{"code":"70557730","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":363.59,"maximum":1061.15,"gross_charge":1117,"discounted_cash":760.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":893.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":625.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":949.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":446.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1061.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":363.59,"methodology":"fee schedule"}]}]},{"description":"MH PLT-LCDCP 2.4 449.924","code_information":[{"code":"70557731","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":657.72,"maximum":1157.1,"gross_charge":1218,"discounted_cash":829.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":974.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":657.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":828.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":779.52,"methodology":"fee schedule"}]}]},{"description":"MH PLT-LCDCP 2.4 449.924","code_information":[{"code":"70557731","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":396.46,"maximum":1157.1,"gross_charge":1218,"discounted_cash":829.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":974.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":682.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1035.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":487.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":462.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":396.46,"methodology":"fee schedule"}]}]},{"description":"MH PLT-LCDCP 2.4 449.928","code_information":[{"code":"70557733","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":797.58,"maximum":1403.15,"gross_charge":1477,"discounted_cash":1006.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":797.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":945.28,"methodology":"fee schedule"}]}]},{"description":"MH PLT-LCDCP 2.4 449.928","code_information":[{"code":"70557733","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":480.77,"maximum":1403.15,"gross_charge":1477,"discounted_cash":1006.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":827.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1255.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":590.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1403.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":561.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":480.77,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 5H 223.551","code_information":[{"code":"70557801","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":633.42,"maximum":1114.35,"gross_charge":1173,"discounted_cash":799.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":938.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":633.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":997.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1055.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":797.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":750.72,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 5H 223.551","code_information":[{"code":"70557801","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":381.82,"maximum":1114.35,"gross_charge":1173,"discounted_cash":799.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":938.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":656.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":997.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1055.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":469.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1114.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":445.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":381.82,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 6H 223.561","code_information":[{"code":"70557802","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":673.38,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":673.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":847.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":798.08,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 6H 223.561","code_information":[{"code":"70557802","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":405.9,"maximum":1184.65,"gross_charge":1247,"discounted_cash":849.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":698.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":498.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 9H 223.591","code_information":[{"code":"70557804","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":706.86,"maximum":1243.55,"gross_charge":1309,"discounted_cash":891.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":706.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1178.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":890.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":837.76,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 9H 223.591","code_information":[{"code":"70557804","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":426.08,"maximum":1243.55,"gross_charge":1309,"discounted_cash":891.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":733.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1112.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1178.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":497.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":426.08,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 10H 223.601","code_information":[{"code":"70557805","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":525.42,"maximum":924.35,"gross_charge":973,"discounted_cash":662.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":778.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":525.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":827.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":875.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":661.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":622.72,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 10H 223.601","code_information":[{"code":"70557805","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":316.72,"maximum":924.35,"gross_charge":973,"discounted_cash":662.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":778.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":544.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":827.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":875.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":389.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":369.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":316.72,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 12H 223.621","code_information":[{"code":"70557806","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":804.06,"maximum":1414.55,"gross_charge":1489,"discounted_cash":1014.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1191.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1012.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":952.96,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 12H 223.621","code_information":[{"code":"70557806","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":484.67,"maximum":1414.55,"gross_charge":1489,"discounted_cash":1014.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1191.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":833.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1265.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":595.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":565.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":484.67,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 14H 223.641","code_information":[{"code":"70557807","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1004.4,"maximum":1767,"gross_charge":1860,"discounted_cash":1267.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1004.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1190.4,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT 3.5 14H 223.641","code_information":[{"code":"70557807","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":605.43,"maximum":1767,"gross_charge":1860,"discounted_cash":1267.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1488,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1581,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1674,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":744,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1767,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":706.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":605.43,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT CALC LONG 241.624","code_information":[{"code":"70557818","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1219.32,"maximum":2145.1,"gross_charge":2258,"discounted_cash":1538.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1219.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1919.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2032.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1535.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1445.12,"methodology":"fee schedule"}]}]},{"description":"LCP-PLT CALC LONG 241.624","code_information":[{"code":"70557818","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":734.98,"maximum":2145.1,"gross_charge":2258,"discounted_cash":1538.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1806.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1264.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1919.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2032.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":903.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":858.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":734.98,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX TIB 124.204-09","code_information":[{"code":"70557841","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2385.18,"maximum":4196.15,"gross_charge":4417,"discounted_cash":3009.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3533.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2385.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3754.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3003.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2826.88,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX TIB 124.204-09","code_information":[{"code":"70557841","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1437.74,"maximum":4196.15,"gross_charge":4417,"discounted_cash":3009.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3533.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2473.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3754.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1766.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4196.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1678.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1437.74,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX TIB 124.208","code_information":[{"code":"70557843","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2411.64,"maximum":4242.7,"gross_charge":4466,"discounted_cash":3042.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2411.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3796.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4019.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3036.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2858.24,"methodology":"fee schedule"}]}]},{"description":"ORTH PLT PROX TIB 124.208","code_information":[{"code":"70557843","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1453.69,"maximum":4242.7,"gross_charge":4466,"discounted_cash":3042.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3572.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2500.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3796.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4019.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1786.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4242.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1697.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1453.69,"methodology":"fee schedule"}]}]},{"description":"PTP 4.5 TIB PLT 240.036/037","code_information":[{"code":"70557900","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2357.64,"maximum":4147.7,"gross_charge":4366,"discounted_cash":2974.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2357.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3711.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3929.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2968.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2794.24,"methodology":"fee schedule"}]}]},{"description":"PTP 4.5 TIB PLT 240.036/037","code_information":[{"code":"70557900","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1421.14,"maximum":4147.7,"gross_charge":4366,"discounted_cash":2974.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3492.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2444.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3711.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3929.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1746.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4147.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1659.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1421.14,"methodology":"fee schedule"}]}]},{"description":"DR PLT DORSAL 242.472/482","code_information":[{"code":"70557901","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1468.8,"maximum":2584,"gross_charge":2720,"discounted_cash":1852.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2312,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2448,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1849.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1740.8,"methodology":"fee schedule"}]}]},{"description":"DR PLT DORSAL 242.472/482","code_information":[{"code":"70557901","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":885.36,"maximum":2584,"gross_charge":2720,"discounted_cash":1852.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2176,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1523.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2312,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2448,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1088,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2584,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1033.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":885.36,"methodology":"fee schedule"}]}]},{"description":"PTP 4.5 TIB PLT 240.038/039","code_information":[{"code":"70557902","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2386.8,"maximum":4199,"gross_charge":4420,"discounted_cash":3011.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3536,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2386.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3757,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3978,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3005.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2828.8,"methodology":"fee schedule"}]}]},{"description":"PTP 4.5 TIB PLT 240.038/039","code_information":[{"code":"70557902","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1438.71,"maximum":4199,"gross_charge":4420,"discounted_cash":3011.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3536,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2475.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3757,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3978,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1768,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4199,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1438.71,"methodology":"fee schedule"}]}]},{"description":"DR SCRW 2.4/4.0H 201.638-70","code_information":[{"code":"70557905","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":128.52,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"}]}]},{"description":"DR SCRW 2.4/4.0H 201.638-70","code_information":[{"code":"70557905","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":77.47,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.47,"methodology":"fee schedule"}]}]},{"description":"PTP 5. LCK SCRW 222.535/549","code_information":[{"code":"70557921","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":268.38,"maximum":472.15,"gross_charge":497,"discounted_cash":338.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":397.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":268.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":422.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":447.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":337.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":318.08,"methodology":"fee schedule"}]}]},{"description":"PTP 5. LCK SCRW 222.535/549","code_information":[{"code":"70557921","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":161.78,"maximum":472.15,"gross_charge":497,"discounted_cash":338.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":397.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":278.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":422.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":447.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":198.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":188.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":161.78,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW ACET 2030-6530/20","code_information":[{"code":"70557935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":100.44,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.04,"methodology":"fee schedule"}]}]},{"description":"ORTH SCRW ACET 2030-6530/20","code_information":[{"code":"70557935","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":60.55,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":60.55,"methodology":"fee schedule"}]}]},{"description":"ORTH DHHS PIN - ALL","code_information":[{"code":"70557960","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":130.68,"maximum":229.9,"gross_charge":242,"discounted_cash":164.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":193.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":205.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":217.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":164.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.88,"methodology":"fee schedule"}]}]},{"description":"ORTH DHHS PIN - ALL","code_information":[{"code":"70557960","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":78.78,"maximum":229.9,"gross_charge":242,"discounted_cash":164.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":193.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":135.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":205.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":217.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":78.78,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ 4MM (390.051)","code_information":[{"code":"70558070","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1391.04,"maximum":2447.2,"gross_charge":2576,"discounted_cash":1754.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2189.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2318.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1751.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1648.64,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ 4MM (390.051)","code_information":[{"code":"70558070","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":838.49,"maximum":2447.2,"gross_charge":2576,"discounted_cash":1754.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2189.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2318.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":978.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":838.49,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ 4MM (395.597)","code_information":[{"code":"70558071","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":279.72,"maximum":492.1,"gross_charge":518,"discounted_cash":352.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":279.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":440.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":352.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":331.52,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ 4MM (395.597)","code_information":[{"code":"70558071","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":168.61,"maximum":492.1,"gross_charge":518,"discounted_cash":352.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":440.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":207.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":168.61,"methodology":"fee schedule"}]}]},{"description":"EF ROD EXT-FX 8.0 (395.782-84-","code_information":[{"code":"70558072","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":355.32,"maximum":625.1,"gross_charge":658,"discounted_cash":448.26,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":355.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":559.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":447.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"}]}]},{"description":"EF ROD EXT-FX 8.0 (395.782-84-","code_information":[{"code":"70558072","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":214.18,"maximum":625.1,"gross_charge":658,"discounted_cash":448.26,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":526.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":368.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":559.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":263.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":625.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":214.18,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP MULT PIN 6POS(390.002","code_information":[{"code":"70558073","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1345.68,"maximum":2367.4,"gross_charge":2492,"discounted_cash":1697.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1345.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2118.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1694.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1594.88,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP MULT PIN 6POS(390.002","code_information":[{"code":"70558073","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":811.15,"maximum":2367.4,"gross_charge":2492,"discounted_cash":1697.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1395.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2118.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":996.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2367.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":946.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":811.15,"methodology":"fee schedule"}]}]},{"description":"EF ROD MULT PIN CLAMP (390.003","code_information":[{"code":"70558074","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":905.04,"maximum":1592.2,"gross_charge":1676,"discounted_cash":1141.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":905.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1072.64,"methodology":"fee schedule"}]}]},{"description":"EF ROD MULT PIN CLAMP (390.003","code_information":[{"code":"70558074","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":545.54,"maximum":1592.2,"gross_charge":1676,"discounted_cash":1141.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":938.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":670.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":636.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":545.54,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP MULT-PIN 4POS(390.004","code_information":[{"code":"70558075","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1260.36,"maximum":2217.3,"gross_charge":2334,"discounted_cash":1590.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1867.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1260.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1983.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2100.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1493.76,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP MULT-PIN 4POS(390.004","code_information":[{"code":"70558075","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":759.72,"maximum":2217.3,"gross_charge":2334,"discounted_cash":1590.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1867.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1983.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2100.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":933.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2217.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":886.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":759.72,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP COMB (390.005)","code_information":[{"code":"70558076","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1176.66,"maximum":2070.05,"gross_charge":2179,"discounted_cash":1484.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1743.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1852.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1961.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1481.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1394.56,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP COMB (390.005)","code_information":[{"code":"70558076","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":709.27,"maximum":2070.05,"gross_charge":2179,"discounted_cash":1484.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1743.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1220.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1852.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1961.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":871.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2070.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":828.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":709.27,"methodology":"fee schedule"}]}]},{"description":"EF POST OUTRIG 30D11MM(390.012","code_information":[{"code":"70558077","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":288.36,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":363.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.76,"methodology":"fee schedule"}]}]},{"description":"EF POST OUTRIG 30D11MM(390.012","code_information":[{"code":"70558077","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":173.82,"maximum":507.3,"gross_charge":534,"discounted_cash":363.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":299.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":480.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":173.82,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP TB-TB LG TI (393.361","code_information":[{"code":"70558078","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":449.28,"maximum":790.4,"gross_charge":832,"discounted_cash":566.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":665.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":565.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.48,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP TB-TB LG TI (393.361","code_information":[{"code":"70558078","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":270.82,"maximum":790.4,"gross_charge":832,"discounted_cash":566.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":665.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":465.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":316.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":270.82,"methodology":"fee schedule"}]}]},{"description":"EF NUT SPRNG-LOAD LG (393.43)","code_information":[{"code":"70558079","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":57.78,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.48,"methodology":"fee schedule"}]}]},{"description":"EF NUT SPRNG-LOAD LG (393.43)","code_information":[{"code":"70558079","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":34.83,"maximum":101.65,"gross_charge":107,"discounted_cash":72.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":96.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":34.83,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ HYB-FX (393.64)","code_information":[{"code":"70558080","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":872.1,"maximum":1534.25,"gross_charge":1615,"discounted_cash":1100.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":872.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1372.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1098.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1033.6,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP ADJ HYB-FX (393.64)","code_information":[{"code":"70558080","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":525.69,"maximum":1534.25,"gross_charge":1615,"discounted_cash":1100.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1292,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":904.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1372.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1453.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":646,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":525.69,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP COMB LG (393.647)","code_information":[{"code":"70558081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":800.82,"maximum":1408.85,"gross_charge":1483,"discounted_cash":1010.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":800.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1260.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1334.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":949.12,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP COMB LG (393.647)","code_information":[{"code":"70558081","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":482.72,"maximum":1408.85,"gross_charge":1483,"discounted_cash":1010.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":830.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1260.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1334.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":593.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":482.72,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP UNIV LG (393.75)","code_information":[{"code":"70558082","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":279.72,"maximum":492.1,"gross_charge":518,"discounted_cash":352.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":279.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":440.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":352.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":331.52,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP UNIV LG (393.75)","code_information":[{"code":"70558082","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":168.61,"maximum":492.1,"gross_charge":518,"discounted_cash":352.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":440.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":466.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":207.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":168.61,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP OPN CMPR (393.76)","code_information":[{"code":"70558083","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":924.48,"maximum":1626.4,"gross_charge":1712,"discounted_cash":1166.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":924.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1455.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1540.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1095.68,"methodology":"fee schedule"}]}]},{"description":"EF CLAMP OPN CMPR (393.76)","code_information":[{"code":"70558083","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":557.26,"maximum":1626.4,"gross_charge":1712,"discounted_cash":1166.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":958.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1455.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1540.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":684.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":650.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":557.26,"methodology":"fee schedule"}]}]},{"description":"EF ROD HYB-FX (394.84-85-86)","code_information":[{"code":"70558085","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":564.3,"maximum":992.75,"gross_charge":1045,"discounted_cash":711.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":836,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":940.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":710.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":668.8,"methodology":"fee schedule"}]}]},{"description":"EF ROD HYB-FX (394.84-85-86)","code_information":[{"code":"70558085","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":340.15,"maximum":992.75,"gross_charge":1045,"discounted_cash":711.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":836,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":940.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":992.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":397.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":340.15,"methodology":"fee schedule"}]}]},{"description":"EF ROD HYB-FX (394.87)","code_information":[{"code":"70558086","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":618.3,"maximum":1087.75,"gross_charge":1145,"discounted_cash":780.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":916,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":973.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":778.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":732.8,"methodology":"fee schedule"}]}]},{"description":"EF ROD HYB-FX (394.87)","code_information":[{"code":"70558086","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":372.7,"maximum":1087.75,"gross_charge":1145,"discounted_cash":780.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":916,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":641.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":973.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":458,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1087.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":372.7,"methodology":"fee schedule"}]}]},{"description":"WC SYS PREVENA MGMT(PRE1001US)","code_information":[{"code":"70559011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":871.02,"maximum":1532.35,"gross_charge":1613,"discounted_cash":1098.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":871.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1371.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1032.32,"methodology":"fee schedule"}]}]},{"description":"WC SYS PREVENA MGMT(PRE1001US)","code_information":[{"code":"70559011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":525.04,"maximum":1532.35,"gross_charge":1613,"discounted_cash":1098.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":903.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1371.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1451.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":645.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":612.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":525.04,"methodology":"fee schedule"}]}]},{"description":"WC DRSNG W/FOAM (SKTF10X10CM)","code_information":[{"code":"70559012","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":117.72,"maximum":207.1,"gross_charge":218,"discounted_cash":148.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":196.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":139.52,"methodology":"fee schedule"}]}]},{"description":"WC DRSNG W/FOAM (SKTF10X10CM)","code_information":[{"code":"70559012","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.96,"maximum":207.1,"gross_charge":218,"discounted_cash":148.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":196.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":70.96,"methodology":"fee schedule"}]}]},{"description":"ORTH DRIL ROD FIB (800642)","code_information":[{"code":"70559073","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":343.44,"maximum":604.2,"gross_charge":636,"discounted_cash":433.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":343.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":540.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":572.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":432.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.04,"methodology":"fee schedule"}]}]},{"description":"ORTH DRIL ROD FIB (800642)","code_information":[{"code":"70559073","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":207.02,"maximum":604.2,"gross_charge":636,"discounted_cash":433.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":508.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":356.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":540.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":572.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":254.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":604.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":241.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":207.02,"methodology":"fee schedule"}]}]},{"description":"ORTH DRIL PROFL MINI (AR873747","code_information":[{"code":"70559099","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":357.48,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":357.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.68,"methodology":"fee schedule"}]}]},{"description":"ORTH DRIL PROFL MINI (AR873747","code_information":[{"code":"70559099","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":215.49,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":215.49,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS FINE CRSHD10CC","code_information":[{"code":"70559112","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":378.54,"maximum":665.95,"gross_charge":701,"discounted_cash":477.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":560.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":378.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":595.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":630.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":476.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":448.64,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS FINE CRSHD10CC","code_information":[{"code":"70559112","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":228.18,"maximum":665.95,"gross_charge":701,"discounted_cash":477.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":560.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":392.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":595.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":630.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":280.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":665.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":228.18,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS CRUSHED 10CC","code_information":[{"code":"70559114","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":370.98,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":467.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS CRUSHED 10CC","code_information":[{"code":"70559114","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":223.62,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":261.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":223.62,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS FINE CRSHD15CC","code_information":[{"code":"70559116","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":413.1,"maximum":726.75,"gross_charge":765,"discounted_cash":521.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":650.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":688.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":520.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"}]}]},{"description":"ORTH CANCELOUS FINE CRSHD15CC","code_information":[{"code":"70559116","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":249.01,"maximum":726.75,"gross_charge":765,"discounted_cash":521.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":612,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":650.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":688.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":726.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":249.01,"methodology":"fee schedule"}]}]},{"description":"ORTH POSITNG PIN 4.5 THRD 298","code_information":[{"code":"70559130","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":395.82,"maximum":696.35,"gross_charge":733,"discounted_cash":499.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":586.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":395.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":623.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":659.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":498.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":469.12,"methodology":"fee schedule"}]}]},{"description":"ORTH POSITNG PIN 4.5 THRD 298","code_information":[{"code":"70559130","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":238.6,"maximum":696.35,"gross_charge":733,"discounted_cash":499.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":586.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":410.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":623.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":659.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":293.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":238.6,"methodology":"fee schedule"}]}]},{"description":"ORTH CABLE 1.0 W/CRIMP298.800","code_information":[{"code":"70559140","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":976.86,"maximum":1718.55,"gross_charge":1809,"discounted_cash":1232.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1447.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":976.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1628.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1157.76,"methodology":"fee schedule"}]}]},{"description":"ORTH CABLE 1.0 W/CRIMP298.800","code_information":[{"code":"70559140","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":588.83,"maximum":1718.55,"gross_charge":1809,"discounted_cash":1232.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1447.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1628.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":723.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":687.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":588.83,"methodology":"fee schedule"}]}]},{"description":"ORTH CABLE 1.7 W/CRIMP298.800","code_information":[{"code":"70559142","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":973.62,"maximum":1712.85,"gross_charge":1803,"discounted_cash":1228.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":973.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1226.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1153.92,"methodology":"fee schedule"}]}]},{"description":"ORTH CABLE 1.7 W/CRIMP298.800","code_information":[{"code":"70559142","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":586.88,"maximum":1712.85,"gross_charge":1803,"discounted_cash":1228.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1532.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1622.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":721.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":685.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":586.88,"methodology":"fee schedule"}]}]},{"description":"ORTH TROCHANTERIC DEV498.806S","code_information":[{"code":"70559150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3223.26,"maximum":5670.55,"gross_charge":5969,"discounted_cash":4066.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4775.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3223.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5073.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5372.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":4058.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3820.16,"methodology":"fee schedule"}]}]},{"description":"ORTH TROCHANTERIC DEV498.806S","code_information":[{"code":"70559150","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1942.91,"maximum":5670.55,"gross_charge":5969,"discounted_cash":4066.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4775.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3342.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":5073.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":5372.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2387.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5670.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2268.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1942.91,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE TRCR-1E(292.79)","code_information":[{"code":"70559242","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":50.22,"maximum":88.35,"gross_charge":93,"discounted_cash":63.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":83.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE TRCR-1E(292.79)","code_information":[{"code":"70559242","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":30.28,"maximum":88.35,"gross_charge":93,"discounted_cash":63.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":83.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.28,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE L-FRG TRCR(292.26)","code_information":[{"code":"70559243","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":38.34,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.44,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE L-FRG TRCR(292.26)","code_information":[{"code":"70559243","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":23.12,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.12,"methodology":"fee schedule"}]}]},{"description":"ENT SEPRAFILM ADHEN (4301.02)","code_information":[{"code":"70559255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":640.44,"maximum":1126.7,"gross_charge":1186,"discounted_cash":807.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":948.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":640.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":806.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":759.04,"methodology":"fee schedule"}]}]},{"description":"ENT SEPRAFILM ADHEN (4301.02)","code_information":[{"code":"70559255","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":386.05,"maximum":1126.7,"gross_charge":1186,"discounted_cash":807.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":948.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":664.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1126.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":450.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":386.05,"methodology":"fee schedule"}]}]},{"description":"ORTH KIT ACL ACCESSY (232300)","code_information":[{"code":"70559257","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1056.24,"maximum":1858.2,"gross_charge":1956,"discounted_cash":1332.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1056.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1330.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1251.84,"methodology":"fee schedule"}]}]},{"description":"ORTH KIT ACL ACCESSY (232300)","code_information":[{"code":"70559257","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":636.68,"maximum":1858.2,"gross_charge":1956,"discounted_cash":1332.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1564.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1095.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1662.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1760.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":782.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1858.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":743.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":636.68,"methodology":"fee schedule"}]}]},{"description":"ORTH KIT LIGMNT REPR (AR1688CP","code_information":[{"code":"70559258","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1909.98,"maximum":3360.15,"gross_charge":3537,"discounted_cash":2409.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2829.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1909.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3006.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3183.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2405.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2263.68,"methodology":"fee schedule"}]}]},{"description":"ORTH KIT LIGMNT REPR (AR1688CP","code_information":[{"code":"70559258","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1151.3,"maximum":3360.15,"gross_charge":3537,"discounted_cash":2409.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2829.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3006.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3183.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3360.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1344.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1151.3,"methodology":"fee schedule"}]}]},{"description":"ENDO TROCR BLDELESS(23-112-1","code_information":[{"code":"70559262","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":240.84,"maximum":423.7,"gross_charge":446,"discounted_cash":303.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":240.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":401.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":303.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.44,"methodology":"fee schedule"}]}]},{"description":"ENDO TROCR BLDELESS(23-112-1","code_information":[{"code":"70559262","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":145.18,"maximum":423.7,"gross_charge":446,"discounted_cash":303.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":356.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":379.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":401.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":145.18,"methodology":"fee schedule"}]}]},{"description":"ORTH CUTTR W/KNT PSHR (AR4515)","code_information":[{"code":"70559265","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":290.52,"maximum":511.1,"gross_charge":538,"discounted_cash":366.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":430.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":457.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":484.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":365.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":344.32,"methodology":"fee schedule"}]}]},{"description":"ORTH CUTTR W/KNT PSHR (AR4515)","code_information":[{"code":"70559265","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":175.12,"maximum":511.1,"gross_charge":538,"discounted_cash":366.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":430.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":301.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":457.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":484.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":215.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":175.12,"methodology":"fee schedule"}]}]},{"description":"ENDO IRRIG SURGIWVE(007550-903","code_information":[{"code":"70559290","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":294.3,"maximum":517.75,"gross_charge":545,"discounted_cash":371.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":294.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":463.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":490.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":370.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":348.8,"methodology":"fee schedule"}]}]},{"description":"ENDO IRRIG SURGIWVE(007550-903","code_information":[{"code":"70559290","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":177.4,"maximum":517.75,"gross_charge":545,"discounted_cash":371.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":436,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":463.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":490.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":218,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":177.4,"methodology":"fee schedule"}]}]},{"description":"ORTH CUTTER (AR1204AS/AF90-105","code_information":[{"code":"70559291","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":711.72,"maximum":1252.1,"gross_charge":1318,"discounted_cash":897.88,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1054.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":711.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1120.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":896.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":843.52,"methodology":"fee schedule"}]}]},{"description":"ORTH CUTTER (AR1204AS/AF90-105","code_information":[{"code":"70559291","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":429.01,"maximum":1252.1,"gross_charge":1318,"discounted_cash":897.88,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1054.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":738.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1120.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":527.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1252.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":500.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":429.01,"methodology":"fee schedule"}]}]},{"description":"ORTH PUSHER KNOT MNS 72201537","code_information":[{"code":"70559292","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":160.38,"maximum":282.15,"gross_charge":297,"discounted_cash":202.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":201.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.08,"methodology":"fee schedule"}]}]},{"description":"ORTH PUSHER KNOT MNS 72201537","code_information":[{"code":"70559292","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":96.68,"maximum":282.15,"gross_charge":297,"discounted_cash":202.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":96.68,"methodology":"fee schedule"}]}]},{"description":"GYN SUTURE PDO .5CIR (RA-1067Q","code_information":[{"code":"70559324","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":81.54,"maximum":143.45,"gross_charge":151,"discounted_cash":102.87,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":102.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.64,"methodology":"fee schedule"}]}]},{"description":"GYN SUTURE PDO .5CIR (RA-1067Q","code_information":[{"code":"70559324","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.16,"maximum":143.45,"gross_charge":151,"discounted_cash":102.87,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":120.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":128.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":135.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":49.16,"methodology":"fee schedule"}]}]},{"description":"ORTH SHUTTLE 45DEG L-G(251003)","code_information":[{"code":"70559327","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":385.56,"maximum":678.3,"gross_charge":714,"discounted_cash":486.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":571.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":385.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":485.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":456.96,"methodology":"fee schedule"}]}]},{"description":"ORTH SHUTTLE 45DEG L-G(251003)","code_information":[{"code":"70559327","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":232.41,"maximum":678.3,"gross_charge":714,"discounted_cash":486.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":571.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":399.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":606.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":642.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":285.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":232.41,"methodology":"fee schedule"}]}]},{"description":"ORTH LIGAMENT PTLLR (17817000)","code_information":[{"code":"70559328","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2162.7,"maximum":3804.75,"gross_charge":4005,"discounted_cash":2728.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3204,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2162.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3404.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3604.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2723.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2563.2,"methodology":"fee schedule"}]}]},{"description":"ORTH LIGAMENT PTLLR (17817000)","code_information":[{"code":"70559328","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1303.63,"maximum":3804.75,"gross_charge":4005,"discounted_cash":2728.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3204,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2242.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3404.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3604.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1602,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3804.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1521.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1303.63,"methodology":"fee schedule"}]}]},{"description":"CATH PICC 2ALUM 5FR(9295108D)","code_information":[{"code":"70559331","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":373.14,"maximum":656.45,"gross_charge":691,"discounted_cash":470.74,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":552.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":373.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":587.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":621.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":469.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":442.24,"methodology":"fee schedule"}]}]},{"description":"CATH PICC 2ALUM 5FR(9295108D)","code_information":[{"code":"70559331","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":224.93,"maximum":656.45,"gross_charge":691,"discounted_cash":470.74,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":552.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":386.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":587.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":621.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":276.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":656.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":262.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":224.93,"methodology":"fee schedule"}]}]},{"description":"ENDO CUTTER LNR RELD (SR55)","code_information":[{"code":"70559338","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.9,"maximum":175.75,"gross_charge":185,"discounted_cash":126.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":99.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":157.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":166.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":125.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.4,"methodology":"fee schedule"}]}]},{"description":"ENDO CUTTER LNR RELD (SR55)","code_information":[{"code":"70559338","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":60.22,"maximum":175.75,"gross_charge":185,"discounted_cash":126.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":103.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":157.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":166.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":60.22,"methodology":"fee schedule"}]}]},{"description":"ENDO CUTTER LNR RELD (SR75)","code_information":[{"code":"70559340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.5,"maximum":261.25,"gross_charge":275,"discounted_cash":187.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":220,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":148.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":247.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":187,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"}]}]},{"description":"ENDO CUTTER LNR RELD (SR75)","code_information":[{"code":"70559340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.52,"maximum":261.25,"gross_charge":275,"discounted_cash":187.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":220,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":154,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":233.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":247.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":110,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":89.52,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE SM .9MM(05-306","code_information":[{"code":"70559350","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":115.56,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":115.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.96,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE SM .9MM(05-306","code_information":[{"code":"70559350","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":69.66,"maximum":203.3,"gross_charge":214,"discounted_cash":145.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":171.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":119.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":181.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":192.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":203.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"}]}]},{"description":"POD PHLNX IMPLT SM ANGLD(05051","code_information":[{"code":"70559353","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2353.32,"maximum":4140.1,"gross_charge":4358,"discounted_cash":2968.86,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3486.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3704.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3922.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2963.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2789.12,"methodology":"fee schedule"}]}]},{"description":"POD PHLNX IMPLT SM ANGLD(05051","code_information":[{"code":"70559353","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1418.53,"maximum":4140.1,"gross_charge":4358,"discounted_cash":2968.86,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3486.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2440.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3704.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3922.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1743.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4140.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1656.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1418.53,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE MD (45302002)","code_information":[{"code":"70559368","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":90.72,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE MD (45302002)","code_information":[{"code":"70559368","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":54.69,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.69,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE 2.0 (56010228)","code_information":[{"code":"70559386","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":73.44,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"}]}]},{"description":"POD K-WIRE 2.0 (56010228)","code_information":[{"code":"70559386","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":44.27,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.27,"methodology":"fee schedule"}]}]},{"description":"ORTH COUNTER-SINK (AR895002)","code_information":[{"code":"70559398","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":320.76,"maximum":564.3,"gross_charge":594,"discounted_cash":404.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":534.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":403.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":380.16,"methodology":"fee schedule"}]}]},{"description":"ORTH COUNTER-SINK (AR895002)","code_information":[{"code":"70559398","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":193.35,"maximum":564.3,"gross_charge":594,"discounted_cash":404.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":534.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":193.35,"methodology":"fee schedule"}]}]},{"description":"ORTH CEMENT BONE KIT1-80-120GM","code_information":[{"code":"70559404","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":320.22,"maximum":563.35,"gross_charge":593,"discounted_cash":403.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":320.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":533.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":403.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":379.52,"methodology":"fee schedule"}]}]},{"description":"ORTH CEMENT BONE KIT1-80-120GM","code_information":[{"code":"70559404","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":193.03,"maximum":563.35,"gross_charge":593,"discounted_cash":403.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":474.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":504.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":533.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":237.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":193.03,"methodology":"fee schedule"}]}]},{"description":"ORTH MOLD KNEE FEM 75MM","code_information":[{"code":"70559417","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4397.76,"maximum":7736.8,"gross_charge":8144,"discounted_cash":5548.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6515.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4397.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6922.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7329.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5212.16,"methodology":"fee schedule"}]}]},{"description":"ORTH MOLD KNEE FEM 75MM","code_information":[{"code":"70559417","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2650.88,"maximum":7736.8,"gross_charge":8144,"discounted_cash":5548.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":6515.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":4560.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":6922.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":7329.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3257.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":7736.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3094.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":2650.88,"methodology":"fee schedule"}]}]},{"description":"HIP CABLE SET DALL(67040510)","code_information":[{"code":"70559436","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":462.78,"maximum":814.15,"gross_charge":857,"discounted_cash":583.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":685.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":462.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":728.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":771.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":582.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":548.48,"methodology":"fee schedule"}]}]},{"description":"HIP CABLE SET DALL(67040510)","code_information":[{"code":"70559436","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":278.96,"maximum":814.15,"gross_charge":857,"discounted_cash":583.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":685.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":728.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":771.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":342.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":814.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":278.96,"methodology":"fee schedule"}]}]},{"description":"POD KIT TENFUSE PIP(TFFKIT)","code_information":[{"code":"70559441","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":980.1,"maximum":1724.25,"gross_charge":1815,"discounted_cash":1236.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1452,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":980.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1633.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1234.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1161.6,"methodology":"fee schedule"}]}]},{"description":"POD KIT TENFUSE PIP(TFFKIT)","code_information":[{"code":"70559441","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":590.79,"maximum":1724.25,"gross_charge":1815,"discounted_cash":1236.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1452,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1633.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":726,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1724.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":689.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":590.79,"methodology":"fee schedule"}]}]},{"description":"POD KIT INSTR EGR DISP(3200D)","code_information":[{"code":"70559443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1598.94,"maximum":2812.95,"gross_charge":2961,"discounted_cash":2017.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2368.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1598.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2516.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2664.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2013.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1895.04,"methodology":"fee schedule"}]}]},{"description":"POD KIT INSTR EGR DISP(3200D)","code_information":[{"code":"70559443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":963.81,"maximum":2812.95,"gross_charge":2961,"discounted_cash":2017.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2368.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1658.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2516.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2664.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2812.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1125.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":963.81,"methodology":"fee schedule"}]}]},{"description":"POD IMP ANG SM (45301012)","code_information":[{"code":"70559447","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2398.68,"maximum":4219.9,"gross_charge":4442,"discounted_cash":3026.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3553.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2398.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3775.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3997.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3020.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2842.88,"methodology":"fee schedule"}]}]},{"description":"POD IMP ANG SM (45301012)","code_information":[{"code":"70559447","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1445.88,"maximum":4219.9,"gross_charge":4442,"discounted_cash":3026.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3553.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2487.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3775.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3997.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1776.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4219.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1687.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1445.88,"methodology":"fee schedule"}]}]},{"description":"INSTRATEK (IC3012)","code_information":[{"code":"70559449","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":504.9,"maximum":888.25,"gross_charge":935,"discounted_cash":636.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":748,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":504.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":794.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":841.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":635.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":598.4,"methodology":"fee schedule"}]}]},{"description":"INSTRATEK (IC3012)","code_information":[{"code":"70559449","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":304.35,"maximum":888.25,"gross_charge":935,"discounted_cash":636.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":748,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":523.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":794.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":841.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":888.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":304.35,"methodology":"fee schedule"}]}]},{"description":"SHLDR COLLAR GLOB (110020100)","code_information":[{"code":"70559460","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1017.9,"maximum":1790.75,"gross_charge":1885,"discounted_cash":1284.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1508,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1602.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1696.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1206.4,"methodology":"fee schedule"}]}]},{"description":"SHLDR COLLAR GLOB (110020100)","code_information":[{"code":"70559460","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":613.57,"maximum":1790.75,"gross_charge":1885,"discounted_cash":1284.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1508,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1055.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1602.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1696.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":754,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1790.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":613.57,"methodology":"fee schedule"}]}]},{"description":"BODY ANATOMC PRX 135MM SZ 6-16","code_information":[{"code":"70559461","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2046.06,"maximum":3599.55,"gross_charge":3789,"discounted_cash":2581.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3031.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2046.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3220.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3410.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2576.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2424.96,"methodology":"fee schedule"}]}]},{"description":"BODY ANATOMC PRX 135MM SZ 6-16","code_information":[{"code":"70559461","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1233.32,"maximum":3599.55,"gross_charge":3789,"discounted_cash":2581.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3031.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2121.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3220.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3410.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1515.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3599.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1439.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1233.32,"methodology":"fee schedule"}]}]},{"description":"SHLDR RESTRIC CEM (546310000)","code_information":[{"code":"70559493","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":517.86,"maximum":911.05,"gross_charge":959,"discounted_cash":653.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":767.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":815.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":863.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":652.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.76,"methodology":"fee schedule"}]}]},{"description":"SHLDR RESTRIC CEM (546310000)","code_information":[{"code":"70559493","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":312.16,"maximum":911.05,"gross_charge":959,"discounted_cash":653.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":767.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":537.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":815.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":863.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":383.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":911.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":312.16,"methodology":"fee schedule"}]}]},{"description":"KN GUIDE PIN (00597000033)","code_information":[{"code":"70559662","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1728.54,"maximum":3040.95,"gross_charge":3201,"discounted_cash":2180.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2560.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1728.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2880.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2048.64,"methodology":"fee schedule"}]}]},{"description":"KN GUIDE PIN (00597000033)","code_information":[{"code":"70559662","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1041.93,"maximum":3040.95,"gross_charge":3201,"discounted_cash":2180.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2560.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2720.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2880.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1280.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3040.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1216.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1041.93,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE DCP TRCR- 1E","code_information":[{"code":"70559763","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":185.22,"maximum":325.85,"gross_charge":343,"discounted_cash":233.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":185.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":291.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":308.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":233.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":219.52,"methodology":"fee schedule"}]}]},{"description":"ORTH K-WIRE DCP TRCR- 1E","code_information":[{"code":"70559763","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":111.65,"maximum":325.85,"gross_charge":343,"discounted_cash":233.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":274.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":291.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":308.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":137.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":111.65,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGDE ELEV ELTE FIBR","code_information":[{"code":"70559779","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2911.68,"maximum":5122.4,"gross_charge":5392,"discounted_cash":3673.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2911.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4583.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4852.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3666.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3450.88,"methodology":"fee schedule"}]}]},{"description":"CO2 OMNIGDE ELEV ELTE FIBR","code_information":[{"code":"70559779","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1755.1,"maximum":5122.4,"gross_charge":5392,"discounted_cash":3673.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":4313.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":3019.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4583.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4852.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2156.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":5122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2048.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1755.1,"methodology":"fee schedule"}]}]},{"description":"SHDLR ANCHR SURTK (AR1938PS","code_information":[{"code":"70559841","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":821.34,"maximum":1444.95,"gross_charge":1521,"discounted_cash":1036.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":821.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1368.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1034.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":973.44,"methodology":"fee schedule"}]}]},{"description":"SHDLR ANCHR SURTK (AR1938PS","code_information":[{"code":"70559841","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":495.09,"maximum":1444.95,"gross_charge":1521,"discounted_cash":1036.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":851.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1368.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":608.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1444.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":495.09,"methodology":"fee schedule"}]}]},{"description":"WIRE K TRCR PT 1.6X150MM SS X1","code_information":[{"code":"70559963","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":75.6,"maximum":133,"gross_charge":140,"discounted_cash":95.38,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":112,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.6,"methodology":"fee schedule"}]}]},{"description":"WIRE K TRCR PT 1.6X150MM SS X1","code_information":[{"code":"70559963","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":45.57,"maximum":133,"gross_charge":140,"discounted_cash":95.38,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":112,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":119,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":45.57,"methodology":"fee schedule"}]}]},{"description":"STAPLER DST SERIES 252833MM","code_information":[{"code":"70559972","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":511.92,"maximum":900.6,"gross_charge":948,"discounted_cash":645.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":758.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":511.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":805.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":853.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":644.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":606.72,"methodology":"fee schedule"}]}]},{"description":"STAPLER DST SERIES 252833MM","code_information":[{"code":"70559972","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":308.58,"maximum":900.6,"gross_charge":948,"discounted_cash":645.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":758.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":530.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":805.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":853.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":900.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":360.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":308.58,"methodology":"fee schedule"}]}]},{"description":"STAPLR INT TA 30 DST 3.54.8MM","code_information":[{"code":"70559973","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":169.56,"maximum":298.3,"gross_charge":314,"discounted_cash":213.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":251.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":169.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":266.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":282.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.96,"methodology":"fee schedule"}]}]},{"description":"STAPLR INT TA 30 DST 3.54.8MM","code_information":[{"code":"70559973","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":102.21,"maximum":298.3,"gross_charge":314,"discounted_cash":213.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":251.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":266.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":282.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":125.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":102.21,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG PREM SURGCLP 13IN","code_information":[{"code":"70559975","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":116.64,"maximum":205.2,"gross_charge":216,"discounted_cash":147.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":194.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG PREM SURGCLP 13IN","code_information":[{"code":"70559975","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.31,"maximum":205.2,"gross_charge":216,"discounted_cash":147.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":194.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":70.31,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR GIA 60-4.8MM SGL","code_information":[{"code":"70559977","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":100.98,"maximum":177.65,"gross_charge":187,"discounted_cash":127.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":127.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.68,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR GIA 60-4.8MM SGL","code_information":[{"code":"70559977","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":60.87,"maximum":177.65,"gross_charge":187,"discounted_cash":127.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":168.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":60.87,"methodology":"fee schedule"}]}]},{"description":"STAPLER GIA 100-3.8MM","code_information":[{"code":"70559979","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":389.34,"maximum":684.95,"gross_charge":721,"discounted_cash":491.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":490.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":461.44,"methodology":"fee schedule"}]}]},{"description":"STAPLER GIA 100-3.8MM","code_information":[{"code":"70559979","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":234.69,"maximum":684.95,"gross_charge":721,"discounted_cash":491.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":576.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":403.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":612.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":648.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":288.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":684.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":234.69,"methodology":"fee schedule"}]}]},{"description":"STAPLER HEMMOROID 32MM 3.5","code_information":[{"code":"70559981","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":639.36,"maximum":1124.8,"gross_charge":1184,"discounted_cash":806.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":947.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":639.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":805.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":757.76,"methodology":"fee schedule"}]}]},{"description":"STAPLER HEMMOROID 32MM 3.5","code_information":[{"code":"70559981","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":385.4,"maximum":1124.8,"gross_charge":1184,"discounted_cash":806.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":947.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":663.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":473.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1124.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":449.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":385.4,"methodology":"fee schedule"}]}]},{"description":"INSRT TRIDENT POLY X3 36MM E","code_information":[{"code":"70559983","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1228.5,"maximum":2161.25,"gross_charge":2275,"discounted_cash":1549.83,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1820,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1933.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1547,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1456,"methodology":"fee schedule"}]}]},{"description":"INSRT TRIDENT POLY X3 36MM E","code_information":[{"code":"70559983","type":"CDM"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":740.52,"maximum":2161.25,"gross_charge":2275,"discounted_cash":1549.83,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1820,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1274,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1933.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2047.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":910,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2161.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":740.52,"methodology":"fee schedule"}]}]},{"description":"TRJI-STAPLE 2.0 CRV TP LOAD","code_information":[{"code":"70559984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":363.42,"maximum":639.35,"gross_charge":673,"discounted_cash":458.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":538.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":363.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":572.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":605.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":457.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":430.72,"methodology":"fee schedule"}]}]},{"description":"TRJI-STAPLE 2.0 CRV TP LOAD","code_information":[{"code":"70559984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":219.07,"maximum":639.35,"gross_charge":673,"discounted_cash":458.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":538.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":376.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":572.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":605.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":269.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":639.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":255.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":219.07,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDO GIA 4XL STRL","code_information":[{"code":"70559988","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":338.04,"maximum":594.7,"gross_charge":626,"discounted_cash":426.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":500.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":563.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":425.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":400.64,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDO GIA 4XL STRL","code_information":[{"code":"70559988","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":203.77,"maximum":594.7,"gross_charge":626,"discounted_cash":426.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":500.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":350.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":532.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":563.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":250.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":594.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":237.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":203.77,"methodology":"fee schedule"}]}]},{"description":"STAPLE RELOAD ENDOSCP GIA 45MM","code_information":[{"code":"70559989","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":284.58,"maximum":500.65,"gross_charge":527,"discounted_cash":359.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":284.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":474.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":358.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":337.28,"methodology":"fee schedule"}]}]},{"description":"STAPLE RELOAD ENDOSCP GIA 45MM","code_information":[{"code":"70559989","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":171.54,"maximum":500.65,"gross_charge":527,"discounted_cash":359.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":421.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":295.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":447.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":474.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":500.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":171.54,"methodology":"fee schedule"}]}]},{"description":"STAPLER DST SERIES 252833MM","code_information":[{"code":"70559991","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":449.28,"maximum":790.4,"gross_charge":832,"discounted_cash":566.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":665.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":449.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":565.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":532.48,"methodology":"fee schedule"}]}]},{"description":"STAPLER DST SERIES 252833MM","code_information":[{"code":"70559991","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":270.82,"maximum":790.4,"gross_charge":832,"discounted_cash":566.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":665.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":465.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":332.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":790.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":316.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":270.82,"methodology":"fee schedule"}]}]},{"description":"STPLR MED THICK TRISTP","code_information":[{"code":"70559992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":307.26,"maximum":540.55,"gross_charge":569,"discounted_cash":387.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":455.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":307.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":483.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":512.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":386.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.16,"methodology":"fee schedule"}]}]},{"description":"STPLR MED THICK TRISTP","code_information":[{"code":"70559992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":185.21,"maximum":540.55,"gross_charge":569,"discounted_cash":387.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":455.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":318.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":483.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":512.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":227.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":540.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":185.21,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-FIRE 35 REG","code_information":[{"code":"70559994","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.72,"maximum":64.6,"gross_charge":68,"discounted_cash":46.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-FIRE 35 REG","code_information":[{"code":"70559994","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.14,"maximum":64.6,"gross_charge":68,"discounted_cash":46.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"}]}]},{"description":"TRISTAPLE EEA 28","code_information":[{"code":"70559995","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":608.04,"maximum":1069.7,"gross_charge":1126,"discounted_cash":767.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":900.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":608.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":957.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":765.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":720.64,"methodology":"fee schedule"}]}]},{"description":"TRISTAPLE EEA 28","code_information":[{"code":"70559995","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":366.52,"maximum":1069.7,"gross_charge":1126,"discounted_cash":767.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":900.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":630.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":957.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1069.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":427.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":366.52,"methodology":"fee schedule"}]}]},{"description":"STPLR HNDL ENDO GIA ULTRA 12MX","code_information":[{"code":"70559996","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":218.7,"maximum":384.75,"gross_charge":405,"discounted_cash":275.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":218.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":364.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"}]}]},{"description":"STPLR HNDL ENDO GIA ULTRA 12MX","code_information":[{"code":"70559996","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":131.83,"maximum":384.75,"gross_charge":405,"discounted_cash":275.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":324,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":344.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":364.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":162,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":131.83,"methodology":"fee schedule"}]}]},{"description":"COVID-19 ANTIGEN","code_information":[{"code":"70600021","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.7,"maximum":83.92,"gross_charge":88.33,"discounted_cash":60.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.09,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.07,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.54,"methodology":"fee schedule"}]}]},{"description":"COVID-19 ANTIGEN","code_information":[{"code":"70600021","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28.76,"maximum":83.92,"gross_charge":88.33,"discounted_cash":60.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":70.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.47,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.09,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":79.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.34,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":83.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.57,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.76,"methodology":"fee schedule"}]}]},{"description":"SARSCOV & INF VIR A&B AG IA","code_information":[{"code":"70600022","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.04,"maximum":167.2,"gross_charge":176,"discounted_cash":119.9,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":119.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.64,"methodology":"fee schedule"}]}]},{"description":"SARSCOV & INF VIR A&B AG IA","code_information":[{"code":"70600022","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":57.29,"maximum":167.2,"gross_charge":176,"discounted_cash":119.9,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":149.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":57.29,"methodology":"fee schedule"}]}]},{"description":"FLU A+B/RSV NAA","code_information":[{"code":"70600835","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":243.54,"maximum":428.45,"gross_charge":451,"discounted_cash":307.25,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":360.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":243.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":383.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":306.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.64,"methodology":"fee schedule"}]}]},{"description":"FLU A+B/RSV NAA","code_information":[{"code":"70600835","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":146.81,"maximum":428.45,"gross_charge":451,"discounted_cash":307.25,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":360.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":252.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":383.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":146.81,"methodology":"fee schedule"}]}]},{"description":"POC GLUCOSE TEST ALERE-NOVA","code_information":[{"code":"70600906","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.28,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.48,"methodology":"fee schedule"}]}]},{"description":"POC GLUCOSE TEST ALERE-NOVA","code_information":[{"code":"70600906","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.42,"maximum":30.4,"gross_charge":32,"discounted_cash":21.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.42,"methodology":"fee schedule"}]}]},{"description":"DNA/RNA SEQUENCING","code_information":[{"code":"70601231","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":165.24,"maximum":290.7,"gross_charge":306,"discounted_cash":208.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":165.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":208.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"}]}]},{"description":"DNA/RNA SEQUENCING","code_information":[{"code":"70601231","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":99.61,"maximum":290.7,"gross_charge":306,"discounted_cash":208.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":171.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":260.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":275.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":290.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":99.61,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME ANAL AMNIO C","code_information":[{"code":"70601251","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":397.98,"maximum":700.15,"gross_charge":737,"discounted_cash":502.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":589.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":397.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":626.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":663.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":501.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":471.68,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME ANAL AMNIO C","code_information":[{"code":"70601251","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":239.9,"maximum":700.15,"gross_charge":737,"discounted_cash":502.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":589.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":412.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":626.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":663.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":294.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":700.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":280.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":239.9,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME ANALAMNIO CUL C","code_information":[{"code":"70601252","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":344.52,"maximum":606.1,"gross_charge":638,"discounted_cash":434.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":510.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":542.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":574.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":433.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":408.32,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME ANALAMNIO CUL C","code_information":[{"code":"70601252","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":207.67,"maximum":606.1,"gross_charge":638,"discounted_cash":434.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":510.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":357.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":542.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":574.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":255.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":606.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":242.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":207.67,"methodology":"fee schedule"}]}]},{"description":"DRUG ASSAY ACETAMINOPHEN","code_information":[{"code":"70601700","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":83.16,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":104.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":98.56,"methodology":"fee schedule"}]}]},{"description":"DRUG ASSAY ACETAMINOPHEN","code_information":[{"code":"70601700","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":50.13,"maximum":146.3,"gross_charge":154,"discounted_cash":104.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":123.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":130.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":138.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":50.13,"methodology":"fee schedule"}]}]},{"description":"ASSAY DIR MEAS FR ESTRADIOL","code_information":[{"code":"70601711","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.36,"maximum":127.3,"gross_charge":134,"discounted_cash":91.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":120.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.76,"methodology":"fee schedule"}]}]},{"description":"ASSAY DIR MEAS FR ESTRADIOL","code_information":[{"code":"70601711","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.62,"maximum":127.3,"gross_charge":134,"discounted_cash":91.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":120.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.62,"methodology":"fee schedule"}]}]},{"description":"IADNA CANDIDA SPECIES DIR PRB","code_information":[{"code":"70602106","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":42.12,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"}]}]},{"description":"IADNA CANDIDA SPECIES DIR PRB","code_information":[{"code":"70602106","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":25.39,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"}]}]},{"description":"IADNA GARDERELA VAGIS DIR PRB","code_information":[{"code":"70602107","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"}]}]},{"description":"IADNA GARDERELA VAGIS DIR PRB","code_information":[{"code":"70602107","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":24.42,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.42,"methodology":"fee schedule"}]}]},{"description":"IADNA TRICHOMONS VAGIS DIR PRB","code_information":[{"code":"70602181","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":39.96,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.36,"methodology":"fee schedule"}]}]},{"description":"IADNA TRICHOMONS VAGIS DIR PRB","code_information":[{"code":"70602181","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"}]}]},{"description":"ABO CONFIRM C","code_information":[{"code":"70602276","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.1,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"}]}]},{"description":"ABO CONFIRM C","code_information":[{"code":"70602276","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.89,"maximum":14.25,"gross_charge":15,"discounted_cash":10.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":4.89,"methodology":"fee schedule"}]}]},{"description":"BCR-ALB1 QUL W/RFLX>B-A1 QUNT","code_information":[{"code":"70603121","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":142.02,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.32,"methodology":"fee schedule"}]}]},{"description":"BCR-ALB1 QUL W/RFLX>B-A1 QUNT","code_information":[{"code":"70603121","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":85.61,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.61,"methodology":"fee schedule"}]}]},{"description":"DRUG ASSAY INFLIXIMAB","code_information":[{"code":"70604452","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":134.46,"maximum":236.55,"gross_charge":249,"discounted_cash":169.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":199.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":134.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"}]}]},{"description":"DRUG ASSAY INFLIXIMAB","code_information":[{"code":"70604452","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":81.05,"maximum":236.55,"gross_charge":249,"discounted_cash":169.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":199.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":99.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.05,"methodology":"fee schedule"}]}]},{"description":"CLTING FCTR VIII MLTIMTRC ALYS","code_information":[{"code":"70604453","type":"CDM"},{"code":"0309","type":"RC"}],"standard_charges":[{"minimum":122.58,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":154.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.28,"methodology":"fee schedule"}]}]},{"description":"CLTING FCTR VIII MLTIMTRC ALYS","code_information":[{"code":"70604453","type":"CDM"},{"code":"0309","type":"RC"}],"standard_charges":[{"minimum":73.89,"maximum":215.65,"gross_charge":227,"discounted_cash":154.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":181.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":192.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":204.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":73.89,"methodology":"fee schedule"}]}]},{"description":"OPIATES 1 OR MORE C","code_information":[{"code":"70604746","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":262.44,"maximum":461.7,"gross_charge":486,"discounted_cash":331.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":262.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":437.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":330.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.04,"methodology":"fee schedule"}]}]},{"description":"OPIATES 1 OR MORE C","code_information":[{"code":"70604746","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":158.2,"maximum":461.7,"gross_charge":486,"discounted_cash":331.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":413.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":437.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":194.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":158.2,"methodology":"fee schedule"}]}]},{"description":"SUGARS SINGLE QUANT","code_information":[{"code":"70604866","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":56.16,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.56,"methodology":"fee schedule"}]}]},{"description":"SUGARS SINGLE QUANT","code_information":[{"code":"70604866","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":33.86,"maximum":98.8,"gross_charge":104,"discounted_cash":70.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":88.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.86,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNBLOOD CLS-A (NON-TLC","code_information":[{"code":"70605001","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":100.44,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.04,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNBLOOD CLS-A (NON-TLC","code_information":[{"code":"70605001","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":60.55,"maximum":176.7,"gross_charge":186,"discounted_cash":126.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":104.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":158.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":167.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":60.55,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNURINE CLS-A (NON-TLC","code_information":[{"code":"70605002","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":91.8,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNURINE CLS-A (NON-TLC","code_information":[{"code":"70605002","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":55.34,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.34,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNANY NUM.DRUG CLS-A","code_information":[{"code":"70605003","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":71.82,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.12,"methodology":"fee schedule"}]}]},{"description":"DRUG SCRNANY NUM.DRUG CLS-A","code_information":[{"code":"70605003","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":43.3,"maximum":126.35,"gross_charge":133,"discounted_cash":90.61,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.3,"methodology":"fee schedule"}]}]},{"description":"MSSA SCREEN","code_information":[{"code":"70606179","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":101.52,"maximum":178.6,"gross_charge":188,"discounted_cash":128.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":127.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.32,"methodology":"fee schedule"}]}]},{"description":"MSSA SCREEN","code_information":[{"code":"70606179","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":61.2,"maximum":178.6,"gross_charge":188,"discounted_cash":128.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":150.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":159.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"}]}]},{"description":"MRSA SCREEN - PCR","code_information":[{"code":"70606180","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":124.74,"maximum":219.45,"gross_charge":231,"discounted_cash":157.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":184.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":124.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":196.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":157.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"}]}]},{"description":"MRSA SCREEN - PCR","code_information":[{"code":"70606180","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":75.2,"maximum":219.45,"gross_charge":231,"discounted_cash":157.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":184.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":196.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":207.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA B AG DFA C","code_information":[{"code":"70606471","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28.08,"maximum":49.4,"gross_charge":52,"discounted_cash":35.43,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":44.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.28,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA B AG DFA C","code_information":[{"code":"70606471","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.93,"maximum":49.4,"gross_charge":52,"discounted_cash":35.43,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":44.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":16.93,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A AG DFA C","code_information":[{"code":"70606472","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.26,"maximum":65.55,"gross_charge":69,"discounted_cash":47.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A AG DFA C","code_information":[{"code":"70606472","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.46,"maximum":65.55,"gross_charge":69,"discounted_cash":47.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.46,"methodology":"fee schedule"}]}]},{"description":"PROCALCITONIN","code_information":[{"code":"70609186","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":255.96,"maximum":450.3,"gross_charge":474,"discounted_cash":322.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":255.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":426.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":322.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":303.36,"methodology":"fee schedule"}]}]},{"description":"PROCALCITONIN","code_information":[{"code":"70609186","type":"CDM"},{"code":"0301","type":"RC"}],"standard_charges":[{"minimum":154.29,"maximum":450.3,"gross_charge":474,"discounted_cash":322.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":402.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":426.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":450.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":154.29,"methodology":"fee schedule"}]}]},{"description":"T-SPOT TB","code_information":[{"code":"70609247","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":166.86,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":210.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"}]}]},{"description":"T-SPOT TB","code_information":[{"code":"70609247","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":100.58,"maximum":293.55,"gross_charge":309,"discounted_cash":210.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":247.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":173.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":262.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":123.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":100.58,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN SPECIFIC IGE PURIFIED","code_information":[{"code":"70609387","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":22.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN SPECIFIC IGE PURIFIED","code_information":[{"code":"70609387","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":13.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"}]}]},{"description":"HLA CLASS 1 TYPNG 1-LOCUS EA.","code_information":[{"code":"70609393","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":183.06,"maximum":322.05,"gross_charge":339,"discounted_cash":230.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":271.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":183.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":288.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":305.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":230.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.96,"methodology":"fee schedule"}]}]},{"description":"HLA CLASS 1 TYPNG 1-LOCUS EA.","code_information":[{"code":"70609393","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.35,"maximum":322.05,"gross_charge":339,"discounted_cash":230.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":271.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":189.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":288.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":305.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":135.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":110.35,"methodology":"fee schedule"}]}]},{"description":"HI DEF QUAL PNL ID ANB HLA CL1","code_information":[{"code":"70609394","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":214.92,"maximum":378.1,"gross_charge":398,"discounted_cash":271.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":318.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":214.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":338.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":358.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":254.72,"methodology":"fee schedule"}]}]},{"description":"HI DEF QUAL PNL ID ANB HLA CL1","code_information":[{"code":"70609394","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":129.55,"maximum":378.1,"gross_charge":398,"discounted_cash":271.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":318.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":222.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":338.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":358.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":159.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":129.55,"methodology":"fee schedule"}]}]},{"description":"MONONUCLEAR CELL ANTIGEN NOS","code_information":[{"code":"70609417","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":57.24,"maximum":100.7,"gross_charge":106,"discounted_cash":72.22,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":84.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":95.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.84,"methodology":"fee schedule"}]}]},{"description":"MONONUCLEAR CELL ANTIGEN NOS","code_information":[{"code":"70609417","type":"CDM"},{"code":"0302","type":"RC"}],"standard_charges":[{"minimum":34.51,"maximum":100.7,"gross_charge":106,"discounted_cash":72.22,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":84.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":90.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":95.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":34.51,"methodology":"fee schedule"}]}]},{"description":"ENTEROVIRUSAMPLIFIED PROBE","code_information":[{"code":"70609688","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":72.36,"maximum":127.3,"gross_charge":134,"discounted_cash":91.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":120.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":91.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.76,"methodology":"fee schedule"}]}]},{"description":"ENTEROVIRUSAMPLIFIED PROBE","code_information":[{"code":"70609688","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":43.62,"maximum":127.3,"gross_charge":134,"discounted_cash":91.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":107.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":113.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":120.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":43.62,"methodology":"fee schedule"}]}]},{"description":"IADNA MYCOPLSM PNEUM AMP PRB","code_information":[{"code":"70609740","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":73.44,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"}]}]},{"description":"IADNA MYCOPLSM PNEUM AMP PRB","code_information":[{"code":"70609740","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":44.27,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.27,"methodology":"fee schedule"}]}]},{"description":"HIV-1 AMPLIFIED PROBE TECHQ","code_information":[{"code":"70609742","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":85.32,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":107.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.12,"methodology":"fee schedule"}]}]},{"description":"HIV-1 AMPLIFIED PROBE TECHQ","code_information":[{"code":"70609742","type":"CDM"},{"code":"0306","type":"RC"}],"standard_charges":[{"minimum":51.43,"maximum":150.1,"gross_charge":158,"discounted_cash":107.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":142.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.43,"methodology":"fee schedule"}]}]},{"description":"MOLECULAR PATH PROC LVL4","code_information":[{"code":"70609763","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":112.32,"maximum":197.6,"gross_charge":208,"discounted_cash":141.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":176.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":141.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.12,"methodology":"fee schedule"}]}]},{"description":"MOLECULAR PATH PROC LVL4","code_information":[{"code":"70609763","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":67.71,"maximum":197.6,"gross_charge":208,"discounted_cash":141.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":166.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":116.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":176.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":83.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":67.71,"methodology":"fee schedule"}]}]},{"description":"HBA1/HBA2 GENE DUP/DEL VARNTS","code_information":[{"code":"70609768","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":128.52,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":128.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":161.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.32,"methodology":"fee schedule"}]}]},{"description":"HBA1/HBA2 GENE DUP/DEL VARNTS","code_information":[{"code":"70609768","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":77.47,"maximum":226.1,"gross_charge":238,"discounted_cash":162.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":190.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":202.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":77.47,"methodology":"fee schedule"}]}]},{"description":"HLA CLASS II TYPING 1-ALLE/GRP","code_information":[{"code":"70609769","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":90.72,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"}]}]},{"description":"HLA CLASS II TYPING 1-ALLE/GRP","code_information":[{"code":"70609769","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":54.69,"maximum":159.6,"gross_charge":168,"discounted_cash":114.45,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":142.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":151.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":54.69,"methodology":"fee schedule"}]}]},{"description":"HBB FULL GENE SEQUENCE","code_information":[{"code":"70609783","type":"CDM"},{"code":"0309","type":"RC"}],"standard_charges":[{"minimum":196.02,"maximum":344.85,"gross_charge":363,"discounted_cash":247.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":196.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"}]}]},{"description":"HBB FULL GENE SEQUENCE","code_information":[{"code":"70609783","type":"CDM"},{"code":"0309","type":"RC"}],"standard_charges":[{"minimum":118.16,"maximum":344.85,"gross_charge":363,"discounted_cash":247.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":290.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":203.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":308.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":145.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":118.16,"methodology":"fee schedule"}]}]},{"description":"PROTEINTOTAL C","code_information":[{"code":"70609806","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.72,"maximum":17.1,"gross_charge":18,"discounted_cash":12.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"}]}]},{"description":"PROTEINTOTAL C","code_information":[{"code":"70609806","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.86,"maximum":17.1,"gross_charge":18,"discounted_cash":12.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5.86,"methodology":"fee schedule"}]}]},{"description":"ARSENICBLOOD C","code_information":[{"code":"70609809","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.74,"maximum":76.95,"gross_charge":81,"discounted_cash":55.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"}]}]},{"description":"ARSENICBLOOD C","code_information":[{"code":"70609809","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.37,"maximum":76.95,"gross_charge":81,"discounted_cash":55.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":68.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":72.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":26.37,"methodology":"fee schedule"}]}]},{"description":"CARDIOLIPIN AB IGG C","code_information":[{"code":"70609812","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.32,"maximum":102.6,"gross_charge":108,"discounted_cash":73.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"}]}]},{"description":"CARDIOLIPIN AB IGG C","code_information":[{"code":"70609812","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.16,"maximum":102.6,"gross_charge":108,"discounted_cash":73.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":97.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":35.16,"methodology":"fee schedule"}]}]},{"description":"CADMIUMBLOOD C","code_information":[{"code":"70609814","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.54,"maximum":95.95,"gross_charge":101,"discounted_cash":68.81,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.64,"methodology":"fee schedule"}]}]},{"description":"CADMIUMBLOOD C","code_information":[{"code":"70609814","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.88,"maximum":95.95,"gross_charge":101,"discounted_cash":68.81,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":80.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":85.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":32.88,"methodology":"fee schedule"}]}]},{"description":"IG LIGHT CHAIN KAPPA C","code_information":[{"code":"70609822","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.82,"maximum":78.85,"gross_charge":83,"discounted_cash":56.55,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"IG LIGHT CHAIN KAPPA C","code_information":[{"code":"70609822","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.02,"maximum":78.85,"gross_charge":83,"discounted_cash":56.55,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.02,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTERIGG C","code_information":[{"code":"70609824","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.7,"maximum":52.25,"gross_charge":55,"discounted_cash":37.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTERIGG C","code_information":[{"code":"70609824","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.91,"maximum":52.25,"gross_charge":55,"discounted_cash":37.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.91,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE C","code_information":[{"code":"70609827","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.88,"maximum":20.9,"gross_charge":22,"discounted_cash":14.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":18.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":19.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.08,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE C","code_information":[{"code":"70609827","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.17,"maximum":20.9,"gross_charge":22,"discounted_cash":14.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":18.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":19.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.17,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE ISOENZYMES C","code_information":[{"code":"70609828","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.02,"maximum":59.85,"gross_charge":63,"discounted_cash":42.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE ISOENZYMES C","code_information":[{"code":"70609828","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.51,"maximum":59.85,"gross_charge":63,"discounted_cash":42.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.51,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOODGASTRIC C","code_information":[{"code":"70609830","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.42,"maximum":21.85,"gross_charge":23,"discounted_cash":15.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":19.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":20.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.72,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOODGASTRIC C","code_information":[{"code":"70609830","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.49,"maximum":21.85,"gross_charge":23,"discounted_cash":15.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":19.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":20.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.74,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.49,"methodology":"fee schedule"}]}]},{"description":"PHGASTRIC C","code_information":[{"code":"70609831","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.74,"maximum":13.61,"gross_charge":14.32,"discounted_cash":9.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":11.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.18,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":12.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.17,"methodology":"fee schedule"}]}]},{"description":"PHGASTRIC C","code_information":[{"code":"70609831","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.67,"maximum":13.61,"gross_charge":14.32,"discounted_cash":9.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":11.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":8.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":12.18,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":12.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":5.73,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":4.67,"methodology":"fee schedule"}]}]},{"description":"FACTOR VIII C","code_information":[{"code":"70609833","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.04,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"}]}]},{"description":"FACTOR VIII C","code_information":[{"code":"70609833","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.74,"maximum":72.2,"gross_charge":76,"discounted_cash":51.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.74,"methodology":"fee schedule"}]}]},{"description":"FACTOR VIIIVWRCF C","code_information":[{"code":"70609834","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":52.92,"maximum":93.1,"gross_charge":98,"discounted_cash":66.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":88.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":66.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.72,"methodology":"fee schedule"}]}]},{"description":"FACTOR VIIIVWRCF C","code_information":[{"code":"70609834","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.9,"maximum":93.1,"gross_charge":98,"discounted_cash":66.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":83.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":88.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.9,"methodology":"fee schedule"}]}]},{"description":"OLIGOGLONAL IMMUNE C","code_information":[{"code":"70609837","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.18,"maximum":111.15,"gross_charge":117,"discounted_cash":79.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":99.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":105.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":79.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.88,"methodology":"fee schedule"}]}]},{"description":"OLIGOGLONAL IMMUNE C","code_information":[{"code":"70609837","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.09,"maximum":111.15,"gross_charge":117,"discounted_cash":79.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":93.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":65.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":99.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":105.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.09,"methodology":"fee schedule"}]}]},{"description":"GAMMAGLOBULINEA 1 C","code_information":[{"code":"70609838","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.3,"maximum":42.75,"gross_charge":45,"discounted_cash":30.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":38.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"}]}]},{"description":"GAMMAGLOBULINEA 1 C","code_information":[{"code":"70609838","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.65,"maximum":42.75,"gross_charge":45,"discounted_cash":30.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":38.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN SERUM C","code_information":[{"code":"70609840","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.34,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN SERUM C","code_information":[{"code":"70609840","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.84,"maximum":19.95,"gross_charge":21,"discounted_cash":14.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"}]}]},{"description":"GLOMERULAR BASE MEMIGG MBA C","code_information":[{"code":"70609842","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.46,"maximum":46.55,"gross_charge":49,"discounted_cash":33.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":41.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":44.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.36,"methodology":"fee schedule"}]}]},{"description":"GLOMERULAR BASE MEMIGG MBA C","code_information":[{"code":"70609842","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.95,"maximum":46.55,"gross_charge":49,"discounted_cash":33.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":41.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":44.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":15.95,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN PHENO C","code_information":[{"code":"70609844","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.48,"maximum":58.9,"gross_charge":62,"discounted_cash":42.24,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":55.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":42.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.68,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN PHENO C","code_information":[{"code":"70609844","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.19,"maximum":58.9,"gross_charge":62,"discounted_cash":42.24,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":52.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":55.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.19,"methodology":"fee schedule"}]}]},{"description":"LD C","code_information":[{"code":"70609846","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.2,"maximum":28.5,"gross_charge":30,"discounted_cash":20.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"}]}]},{"description":"LD C","code_information":[{"code":"70609846","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.77,"maximum":28.5,"gross_charge":30,"discounted_cash":20.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.77,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL C","code_information":[{"code":"70609868","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.1,"maximum":61.75,"gross_charge":65,"discounted_cash":44.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":55.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":58.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.6,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL C","code_information":[{"code":"70609868","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.16,"maximum":61.75,"gross_charge":65,"discounted_cash":44.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":55.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":58.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.16,"methodology":"fee schedule"}]}]},{"description":"PRIMIDONE C","code_information":[{"code":"70609869","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.34,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.44,"methodology":"fee schedule"}]}]},{"description":"PRIMIDONE C","code_information":[{"code":"70609869","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.12,"maximum":67.45,"gross_charge":71,"discounted_cash":48.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":60.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.12,"methodology":"fee schedule"}]}]},{"description":"BARTONELLA HENSELAE AB 1 C","code_information":[{"code":"70609871","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.76,"maximum":41.8,"gross_charge":44,"discounted_cash":29.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.16,"methodology":"fee schedule"}]}]},{"description":"BARTONELLA HENSELAE AB 1 C","code_information":[{"code":"70609871","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.33,"maximum":41.8,"gross_charge":44,"discounted_cash":29.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":35.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":39.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14.33,"methodology":"fee schedule"}]}]},{"description":"CANDIDA ANTIBODYIGA C","code_information":[{"code":"70609881","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.54,"maximum":48.45,"gross_charge":51,"discounted_cash":34.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":43.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"}]}]},{"description":"CANDIDA ANTIBODYIGA C","code_information":[{"code":"70609881","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.61,"maximum":48.45,"gross_charge":51,"discounted_cash":34.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":43.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":16.61,"methodology":"fee schedule"}]}]},{"description":"STREP PNEUMO ANTIBODYTYPE1 C","code_information":[{"code":"70609885","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.56,"maximum":60.8,"gross_charge":64,"discounted_cash":43.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.96,"methodology":"fee schedule"}]}]},{"description":"STREP PNEUMO ANTIBODYTYPE1 C","code_information":[{"code":"70609885","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.84,"maximum":60.8,"gross_charge":64,"discounted_cash":43.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":20.84,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA CULTURE C","code_information":[{"code":"70609900","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.36,"maximum":79.8,"gross_charge":84,"discounted_cash":57.23,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":71.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA CULTURE C","code_information":[{"code":"70609900","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.35,"maximum":79.8,"gross_charge":84,"discounted_cash":57.23,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":71.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":75.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.35,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA CULTURE TYPING C","code_information":[{"code":"70609901","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.96,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA CULTURE TYPING C","code_information":[{"code":"70609901","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.82,"maximum":22.8,"gross_charge":24,"discounted_cash":16.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.82,"methodology":"fee schedule"}]}]},{"description":"C. PNEUMONIAE IGM TITER C","code_information":[{"code":"70609909","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.16,"maximum":51.3,"gross_charge":54,"discounted_cash":36.79,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"}]}]},{"description":"C. PNEUMONIAE IGM TITER C","code_information":[{"code":"70609909","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.58,"maximum":51.3,"gross_charge":54,"discounted_cash":36.79,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.58,"methodology":"fee schedule"}]}]},{"description":"NOROVIRUSPCRGRP1 C","code_information":[{"code":"70609916","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":80.46,"maximum":141.55,"gross_charge":149,"discounted_cash":101.51,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.46,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":126.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":134.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":101.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.36,"methodology":"fee schedule"}]}]},{"description":"NOROVIRUSPCRGRP1 C","code_information":[{"code":"70609916","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.5,"maximum":141.55,"gross_charge":149,"discounted_cash":101.51,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":119.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":83.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":126.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":134.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":59.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN TOTAL C","code_information":[{"code":"70609931","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.78,"maximum":54.15,"gross_charge":57,"discounted_cash":38.84,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN TOTAL C","code_information":[{"code":"70609931","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.56,"maximum":54.15,"gross_charge":57,"discounted_cash":38.84,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.56,"methodology":"fee schedule"}]}]},{"description":"N. GONORRRHOEAENAA C","code_information":[{"code":"70609947","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.26,"maximum":160.55,"gross_charge":169,"discounted_cash":115.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":143.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":152.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":114.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.16,"methodology":"fee schedule"}]}]},{"description":"N. GONORRRHOEAENAA C","code_information":[{"code":"70609947","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.01,"maximum":160.55,"gross_charge":169,"discounted_cash":115.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":135.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":94.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":143.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":152.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":67.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.01,"methodology":"fee schedule"}]}]},{"description":"S AUREUS MRSA NAA C","code_information":[{"code":"70609950","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.86,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":108.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"}]}]},{"description":"S AUREUS MRSA NAA C","code_information":[{"code":"70609950","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.76,"maximum":151.05,"gross_charge":159,"discounted_cash":108.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":127.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":135.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":143.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":51.76,"methodology":"fee schedule"}]}]},{"description":"ALLERGENSIGE TOTAL C","code_information":[{"code":"70609960","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.8,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"}]}]},{"description":"ALLERGENSIGE TOTAL C","code_information":[{"code":"70609960","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.79,"maximum":66.5,"gross_charge":70,"discounted_cash":47.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.79,"methodology":"fee schedule"}]}]},{"description":"HPV HIGH-RISK TYPES","code_information":[{"code":"70610020","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.44,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"}]}]},{"description":"HPV HIGH-RISK TYPES","code_information":[{"code":"70610020","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28,"maximum":81.7,"gross_charge":86,"discounted_cash":58.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH C/V AUTO FLUID REDO","code_information":[{"code":"70619975","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":71.28,"maximum":125.4,"gross_charge":132,"discounted_cash":89.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":89.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH C/V AUTO FLUID REDO","code_information":[{"code":"70619975","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":42.97,"maximum":125.4,"gross_charge":132,"discounted_cash":89.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":112.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":118.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":42.97,"methodology":"fee schedule"}]}]},{"description":"FNA - ADDITIONAL","code_information":[{"code":"70619977","type":"CDM"},{"code":"0311","type":"RC"}],"standard_charges":[{"minimum":73.44,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":92.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.04,"methodology":"fee schedule"}]}]},{"description":"FNA - ADDITIONAL","code_information":[{"code":"70619977","type":"CDM"},{"code":"0311","type":"RC"}],"standard_charges":[{"minimum":44.27,"maximum":129.2,"gross_charge":136,"discounted_cash":92.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":122.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":44.27,"methodology":"fee schedule"}]}]},{"description":"GAMMAHYDROXYBUTYRIC ACDSRM AR","code_information":[{"code":"70620000","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":171.18,"maximum":301.15,"gross_charge":317,"discounted_cash":215.96,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":253.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":171.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":269.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":285.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":215.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.88,"methodology":"fee schedule"}]}]},{"description":"GAMMAHYDROXYBUTYRIC ACDSRM AR","code_information":[{"code":"70620000","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":103.19,"maximum":301.15,"gross_charge":317,"discounted_cash":215.96,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":253.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":177.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":269.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":285.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":103.19,"methodology":"fee schedule"}]}]},{"description":"PRENATAL RISK PANELQUAD ARUP","code_information":[{"code":"70620002","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":351.54,"maximum":618.45,"gross_charge":651,"discounted_cash":443.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":520.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":553.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":585.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":442.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"}]}]},{"description":"PRENATAL RISK PANELQUAD ARUP","code_information":[{"code":"70620002","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":211.91,"maximum":618.45,"gross_charge":651,"discounted_cash":443.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":520.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":364.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":553.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":585.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":260.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":618.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":211.91,"methodology":"fee schedule"}]}]},{"description":"BETA HYDROXYBUTYRIC ACID ARUP","code_information":[{"code":"70620003","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.9,"maximum":33.25,"gross_charge":35,"discounted_cash":23.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":31.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"}]}]},{"description":"BETA HYDROXYBUTYRIC ACID ARUP","code_information":[{"code":"70620003","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.4,"maximum":33.25,"gross_charge":35,"discounted_cash":23.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":31.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONE RLT PEP AR","code_information":[{"code":"70620004","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.62,"maximum":97.85,"gross_charge":103,"discounted_cash":70.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":82.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":87.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":92.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONE RLT PEP AR","code_information":[{"code":"70620004","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.53,"maximum":97.85,"gross_charge":103,"discounted_cash":70.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":82.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":87.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":92.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.53,"methodology":"fee schedule"}]}]},{"description":"FOLATE RBC ARUP","code_information":[{"code":"70620005","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"}]}]},{"description":"FOLATE RBC ARUP","code_information":[{"code":"70620005","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.42,"maximum":71.25,"gross_charge":75,"discounted_cash":51.1,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.42,"methodology":"fee schedule"}]}]},{"description":"COBALT SERUM OR PLASMA ARUP","code_information":[{"code":"70620006","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":50.76,"maximum":89.3,"gross_charge":94,"discounted_cash":64.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.16,"methodology":"fee schedule"}]}]},{"description":"COBALT SERUM OR PLASMA ARUP","code_information":[{"code":"70620006","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.6,"maximum":89.3,"gross_charge":94,"discounted_cash":64.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":75.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBIN S W/REFLEX ARUP","code_information":[{"code":"70620009","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.58,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":52.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.28,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBIN S W/REFLEX ARUP","code_information":[{"code":"70620009","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.07,"maximum":73.15,"gross_charge":77,"discounted_cash":52.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":61.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":65.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":30.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"}]}]},{"description":"TRYPTASE ARUP","code_information":[{"code":"70620010","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.96,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.36,"methodology":"fee schedule"}]}]},{"description":"TRYPTASE ARUP","code_information":[{"code":"70620010","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":70.3,"gross_charge":74,"discounted_cash":50.42,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":59.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"}]}]},{"description":"INTERLEUKIN 6 (IL-6) ARUP","code_information":[{"code":"70620014","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.9,"maximum":80.75,"gross_charge":85,"discounted_cash":57.91,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.9,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"}]}]},{"description":"INTERLEUKIN 6 (IL-6) ARUP","code_information":[{"code":"70620014","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.67,"maximum":80.75,"gross_charge":85,"discounted_cash":57.91,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":72.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.67,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES URINE ARUP","code_information":[{"code":"70620017","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.88,"maximum":68.4,"gross_charge":72,"discounted_cash":49.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES URINE ARUP","code_information":[{"code":"70620017","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.44,"maximum":68.4,"gross_charge":72,"discounted_cash":49.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":64.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.36,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.44,"methodology":"fee schedule"}]}]},{"description":"PROSTATIC ACID PHOSPHATSE ARUP","code_information":[{"code":"70620019","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.14,"maximum":38.95,"gross_charge":41,"discounted_cash":27.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"}]}]},{"description":"PROSTATIC ACID PHOSPHATSE ARUP","code_information":[{"code":"70620019","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.35,"maximum":38.95,"gross_charge":41,"discounted_cash":27.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":34.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.35,"methodology":"fee schedule"}]}]},{"description":"ZINC PROTOPORPHYRINBLOOD ARUP","code_information":[{"code":"70620021","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.94,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"}]}]},{"description":"ZINC PROTOPORPHYRINBLOOD ARUP","code_information":[{"code":"70620021","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.86,"maximum":57.95,"gross_charge":61,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":51.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":54.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":24.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY STOOL ARUP","code_information":[{"code":"70620023","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.22,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY STOOL ARUP","code_information":[{"code":"70620023","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14,"maximum":40.85,"gross_charge":43,"discounted_cash":29.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":36.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"}]}]},{"description":"LEUKOCYTE ALKALINE PHOS ARUP","code_information":[{"code":"70620024","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.98,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.68,"methodology":"fee schedule"}]}]},{"description":"LEUKOCYTE ALKALINE PHOS ARUP","code_information":[{"code":"70620024","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.05,"maximum":35.15,"gross_charge":37,"discounted_cash":25.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":31.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.05,"methodology":"fee schedule"}]}]},{"description":"CANCER ANTIGEN 27.29 ARUP","code_information":[{"code":"70620028","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.95,"maximum":79.08,"gross_charge":83.24,"discounted_cash":56.71,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.95,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.76,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":56.61,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.28,"methodology":"fee schedule"}]}]},{"description":"CANCER ANTIGEN 27.29 ARUP","code_information":[{"code":"70620028","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.1,"maximum":79.08,"gross_charge":83.24,"discounted_cash":56.71,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":46.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":70.76,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":74.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":33.3,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":79.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":27.1,"methodology":"fee schedule"}]}]},{"description":"RHEUMATOID FACTR SYNOVIAL ARUP","code_information":[{"code":"70620032","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.25,"maximum":21.55,"gross_charge":22.68,"discounted_cash":15.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":18.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.25,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":19.28,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":20.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":15.43,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.52,"methodology":"fee schedule"}]}]},{"description":"RHEUMATOID FACTR SYNOVIAL ARUP","code_information":[{"code":"70620032","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.39,"maximum":21.55,"gross_charge":22.68,"discounted_cash":15.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":18.15,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":12.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":19.28,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":20.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":9.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.62,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":7.39,"methodology":"fee schedule"}]}]},{"description":"RPR W/REFL TP-PA ARUP","code_information":[{"code":"70620033","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.23,"maximum":16.23,"gross_charge":17.08,"discounted_cash":11.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":13.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.23,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":14.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":15.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.94,"methodology":"fee schedule"}]}]},{"description":"RPR W/REFL TP-PA ARUP","code_information":[{"code":"70620033","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.56,"maximum":16.23,"gross_charge":17.08,"discounted_cash":11.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":13.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.57,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":14.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":15.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5.56,"methodology":"fee schedule"}]}]},{"description":"MUMPS ANTIBODY IGG ARUP","code_information":[{"code":"70620034","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.24,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.84,"methodology":"fee schedule"}]}]},{"description":"MUMPS ANTIBODY IGG ARUP","code_information":[{"code":"70620034","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.23,"maximum":53.2,"gross_charge":56,"discounted_cash":38.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"}]}]},{"description":"MYCOBACTERIAL SUSCEPTIBILITYEA","code_information":[{"code":"70620040","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.66,"maximum":27.55,"gross_charge":29,"discounted_cash":19.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.56,"methodology":"fee schedule"}]}]},{"description":"MYCOBACTERIAL SUSCEPTIBILITYEA","code_information":[{"code":"70620040","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.44,"maximum":27.55,"gross_charge":29,"discounted_cash":19.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.44,"methodology":"fee schedule"}]}]},{"description":"HIV 1/2 COMBO AG/AB W/REFLARUP","code_information":[{"code":"70620041","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.64,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.24,"methodology":"fee schedule"}]}]},{"description":"HIV 1/2 COMBO AG/AB W/REFLARUP","code_information":[{"code":"70620041","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.76,"maximum":110.2,"gross_charge":116,"discounted_cash":79.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":92.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":98.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":104.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.76,"methodology":"fee schedule"}]}]},{"description":"SHIGA-LIKE TOXIN ARUP","code_information":[{"code":"70620042","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.32,"maximum":55.1,"gross_charge":58,"discounted_cash":39.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":49.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":52.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":39.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.12,"methodology":"fee schedule"}]}]},{"description":"SHIGA-LIKE TOXIN ARUP","code_information":[{"code":"70620042","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.88,"maximum":55.1,"gross_charge":58,"discounted_cash":39.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":46.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":49.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":52.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.88,"methodology":"fee schedule"}]}]},{"description":"BK VIRUS QUANT PCR ARUP","code_information":[{"code":"70620044","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":98.28,"maximum":172.9,"gross_charge":182,"discounted_cash":123.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":145.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":163.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":123.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.48,"methodology":"fee schedule"}]}]},{"description":"BK VIRUS QUANT PCR ARUP","code_information":[{"code":"70620044","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.25,"maximum":172.9,"gross_charge":182,"discounted_cash":123.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":145.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":101.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":154.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":163.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.16,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":59.25,"methodology":"fee schedule"}]}]},{"description":"CD4 ABSOLUTE COUNT ARUP","code_information":[{"code":"70620045","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.56,"maximum":108.3,"gross_charge":114,"discounted_cash":77.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":61.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":77.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"}]}]},{"description":"CD4 ABSOLUTE COUNT ARUP","code_information":[{"code":"70620045","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.11,"maximum":108.3,"gross_charge":114,"discounted_cash":77.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":37.11,"methodology":"fee schedule"}]}]},{"description":"LEUKEMIA/LYMPHOMA PHENOTYP ARU","code_information":[{"code":"70620060","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":170.64,"maximum":300.2,"gross_charge":316,"discounted_cash":215.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":170.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":284.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.24,"methodology":"fee schedule"}]}]},{"description":"LEUKEMIA/LYMPHOMA PHENOTYP ARU","code_information":[{"code":"70620060","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.86,"maximum":300.2,"gross_charge":316,"discounted_cash":215.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":284.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":102.86,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOTECH1ST MARKER ARUP","code_information":[{"code":"70620061","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":160.63,"maximum":282.58,"gross_charge":297.45,"discounted_cash":202.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":160.63,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.71,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202.27,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.37,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOTECH1ST MARKER ARUP","code_information":[{"code":"70620061","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":96.82,"maximum":282.58,"gross_charge":297.45,"discounted_cash":202.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":237.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":166.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":267.71,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":118.98,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":282.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":96.82,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOTECHADD MKR ARUP","code_information":[{"code":"70620062","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":75.06,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":94.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.96,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOTECHADD MKR ARUP","code_information":[{"code":"70620062","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.25,"maximum":132.05,"gross_charge":139,"discounted_cash":94.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":77.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":118.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":125.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":55.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":45.25,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOINTERP 2-8 MKR ARUP","code_information":[{"code":"70620063","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.62,"maximum":192.85,"gross_charge":203,"discounted_cash":138.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":172.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":182.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.92,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOINTERP 2-8 MKR ARUP","code_information":[{"code":"70620063","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.08,"maximum":192.85,"gross_charge":203,"discounted_cash":138.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":162.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":172.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":182.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":66.08,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOINTERP 9-15 MKR ARU","code_information":[{"code":"70620064","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":135,"maximum":237.5,"gross_charge":250,"discounted_cash":170.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":135,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":212.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":170,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":160,"methodology":"fee schedule"}]}]},{"description":"FLOW CYTOINTERP 9-15 MKR ARU","code_information":[{"code":"70620064","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.38,"maximum":237.5,"gross_charge":250,"discounted_cash":170.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":140,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":212.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":225,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":81.38,"methodology":"fee schedule"}]}]},{"description":"WBC STOOL ARUP","code_information":[{"code":"70620065","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.26,"maximum":18.05,"gross_charge":19,"discounted_cash":12.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"}]}]},{"description":"WBC STOOL ARUP","code_information":[{"code":"70620065","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.19,"maximum":18.05,"gross_charge":19,"discounted_cash":12.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.19,"methodology":"fee schedule"}]}]},{"description":"CULTURE MRSA LABCORP","code_information":[{"code":"70620070","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.74,"maximum":29.45,"gross_charge":31,"discounted_cash":21.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":26.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.84,"methodology":"fee schedule"}]}]},{"description":"CULTURE MRSA LABCORP","code_information":[{"code":"70620070","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.1,"maximum":29.45,"gross_charge":31,"discounted_cash":21.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":26.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.1,"methodology":"fee schedule"}]}]},{"description":"IRONPLASMA OR SERUM","code_information":[{"code":"70621001","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.36,"maximum":32.3,"gross_charge":34,"discounted_cash":23.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":28.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.76,"methodology":"fee schedule"}]}]},{"description":"IRONPLASMA OR SERUM","code_information":[{"code":"70621001","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.07,"maximum":32.3,"gross_charge":34,"discounted_cash":23.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":28.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":30.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":11.07,"methodology":"fee schedule"}]}]},{"description":"CALCIUMIONIZEDSERUM","code_information":[{"code":"70621003","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.55,"maximum":51.99,"gross_charge":54.72,"discounted_cash":37.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.55,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.21,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.03,"methodology":"fee schedule"}]}]},{"description":"CALCIUMIONIZEDSERUM","code_information":[{"code":"70621003","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.82,"maximum":51.99,"gross_charge":54.72,"discounted_cash":37.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":43.78,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.65,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":46.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":49.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.89,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":51.99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"}]}]},{"description":"ANAIGG ELISA RFLX ANAIGG IFA","code_information":[{"code":"70621007","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.12,"maximum":45.95,"gross_charge":48.36,"discounted_cash":32.95,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":41.11,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.89,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"}]}]},{"description":"ANAIGG ELISA RFLX ANAIGG IFA","code_information":[{"code":"70621007","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.75,"maximum":45.95,"gross_charge":48.36,"discounted_cash":32.95,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.09,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":41.11,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.35,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":15.75,"methodology":"fee schedule"}]}]},{"description":"ANTINUCLEAR ABHEP-2IGG","code_information":[{"code":"70621008","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.92,"maximum":45.6,"gross_charge":48,"discounted_cash":32.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"}]}]},{"description":"ANTINUCLEAR ABHEP-2IGG","code_information":[{"code":"70621008","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.63,"maximum":45.6,"gross_charge":48,"discounted_cash":32.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":40.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":15.63,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN ANTIBODY","code_information":[{"code":"70621011","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":36.72,"maximum":64.6,"gross_charge":68,"discounted_cash":46.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":46.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN ANTIBODY","code_information":[{"code":"70621011","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.14,"maximum":64.6,"gross_charge":68,"discounted_cash":46.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":54.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"}]}]},{"description":"DSDNA ABIGG W/RFLX IFA TITER","code_information":[{"code":"70621013","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.86,"maximum":56.05,"gross_charge":59,"discounted_cash":40.2,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.76,"methodology":"fee schedule"}]}]},{"description":"DSDNA ABIGG W/RFLX IFA TITER","code_information":[{"code":"70621013","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.21,"maximum":56.05,"gross_charge":59,"discounted_cash":40.2,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.21,"methodology":"fee schedule"}]}]},{"description":"ANKYLOSING SPONDYLITIS HLAB27","code_information":[{"code":"70621027","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":170.64,"maximum":300.2,"gross_charge":316,"discounted_cash":215.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":170.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":284.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":214.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.24,"methodology":"fee schedule"}]}]},{"description":"ANKYLOSING SPONDYLITIS HLAB27","code_information":[{"code":"70621027","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":102.86,"maximum":300.2,"gross_charge":316,"discounted_cash":215.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":252.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":176.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":268.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":284.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":126.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":102.86,"methodology":"fee schedule"}]}]},{"description":"HCV GENOTYPE PCR SEQUENCING 1","code_information":[{"code":"70621047","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":589.68,"maximum":1037.4,"gross_charge":1092,"discounted_cash":743.92,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":589.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":982.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":742.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":698.88,"methodology":"fee schedule"}]}]},{"description":"HCV GENOTYPE PCR SEQUENCING 1","code_information":[{"code":"70621047","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":355.45,"maximum":1037.4,"gross_charge":1092,"discounted_cash":743.92,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":928.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":982.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":436.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":414.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":355.45,"methodology":"fee schedule"}]}]},{"description":"PROTHROMBIN F2 G20210A VARIANT","code_information":[{"code":"70621048","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":150.66,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":150.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":189.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"}]}]},{"description":"PROTHROMBIN F2 G20210A VARIANT","code_information":[{"code":"70621048","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":90.82,"maximum":265.05,"gross_charge":279,"discounted_cash":190.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":223.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":156.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":237.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":251.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":90.82,"methodology":"fee schedule"}]}]},{"description":"ACTH STIMULATING CORTISOL 0MIN","code_information":[{"code":"70621049","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":36.18,"maximum":63.65,"gross_charge":67,"discounted_cash":45.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.18,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":60.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":45.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.88,"methodology":"fee schedule"}]}]},{"description":"ACTH STIMULATING CORTISOL 0MIN","code_information":[{"code":"70621049","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.81,"maximum":63.65,"gross_charge":67,"discounted_cash":45.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":53.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":37.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":60.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.46,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.81,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL ADULTPREMENOPAUSAL","code_information":[{"code":"70621052","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.26,"maximum":113.05,"gross_charge":119,"discounted_cash":81.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":64.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":101.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.16,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL ADULTPREMENOPAUSAL","code_information":[{"code":"70621052","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.74,"maximum":113.05,"gross_charge":119,"discounted_cash":81.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":101.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":107.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.74,"methodology":"fee schedule"}]}]},{"description":"SOLUBLE TRANSFERRIN RECEPTOR","code_information":[{"code":"70621054","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":84.24,"maximum":148.2,"gross_charge":156,"discounted_cash":106.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":132.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":140.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":106.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.84,"methodology":"fee schedule"}]}]},{"description":"SOLUBLE TRANSFERRIN RECEPTOR","code_information":[{"code":"70621054","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":50.78,"maximum":148.2,"gross_charge":156,"discounted_cash":106.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":132.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":140.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.28,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":50.78,"methodology":"fee schedule"}]}]},{"description":"TOTAL PSA WITH FREE PSA REFLEX","code_information":[{"code":"70621055","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.73,"maximum":69.89,"gross_charge":73.56,"discounted_cash":50.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.73,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.53,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.21,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50.03,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.08,"methodology":"fee schedule"}]}]},{"description":"TOTAL PSA WITH FREE PSA REFLEX","code_information":[{"code":"70621055","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.95,"maximum":69.89,"gross_charge":73.56,"discounted_cash":50.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":58.85,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":41.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":62.53,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":66.21,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":29.43,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":69.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":23.95,"methodology":"fee schedule"}]}]},{"description":"PSA FREE BILL","code_information":[{"code":"70621056","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.12,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"}]}]},{"description":"PSA FREE BILL","code_information":[{"code":"70621056","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.39,"maximum":74.1,"gross_charge":78,"discounted_cash":53.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":43.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":66.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":70.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B1 THIAMINEWHOLE BLD","code_information":[{"code":"70621057","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":52.38,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":65.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.08,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B1 THIAMINEWHOLE BLD","code_information":[{"code":"70621057","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.58,"maximum":92.15,"gross_charge":97,"discounted_cash":66.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":77.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":82.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":87.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":31.58,"methodology":"fee schedule"}]}]},{"description":"MMA S/PVITAMIN B12 STATUS","code_information":[{"code":"70621062","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.6,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"}]}]},{"description":"MMA S/PVITAMIN B12 STATUS","code_information":[{"code":"70621062","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.3,"maximum":85.5,"gross_charge":90,"discounted_cash":61.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":76.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.3,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX ELECTROPHORESIS BILL","code_information":[{"code":"70621069","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.3,"maximum":90.25,"gross_charge":95,"discounted_cash":64.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX ELECTROPHORESIS BILL","code_information":[{"code":"70621069","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.93,"maximum":90.25,"gross_charge":95,"discounted_cash":64.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.93,"methodology":"fee schedule"}]}]},{"description":"JAK2 EXON 12 MUTATN ANAL 1 PCR","code_information":[{"code":"70621073","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":424.44,"maximum":746.7,"gross_charge":786,"discounted_cash":535.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":424.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":668.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":707.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":534.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":503.04,"methodology":"fee schedule"}]}]},{"description":"JAK2 EXON 12 MUTATN ANAL 1 PCR","code_information":[{"code":"70621073","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":255.85,"maximum":746.7,"gross_charge":786,"discounted_cash":535.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":440.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":668.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":707.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":314.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":746.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":255.85,"methodology":"fee schedule"}]}]},{"description":"(13)-BETA-D-GLUCAN FUNGITELL","code_information":[{"code":"70621074","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.88,"maximum":45.53,"gross_charge":47.92,"discounted_cash":32.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.34,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":25.88,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.13,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":32.59,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.67,"methodology":"fee schedule"}]}]},{"description":"(13)-BETA-D-GLUCAN FUNGITELL","code_information":[{"code":"70621074","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.6,"maximum":45.53,"gross_charge":47.92,"discounted_cash":32.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":38.34,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":43.13,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.17,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.21,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":15.6,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS C VIRUS ANTIBODY CIA","code_information":[{"code":"70621075","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.83,"maximum":54.23,"gross_charge":57.08,"discounted_cash":38.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":45.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":30.83,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":48.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":51.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":38.82,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.54,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS C VIRUS ANTIBODY CIA","code_information":[{"code":"70621075","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.58,"maximum":54.23,"gross_charge":57.08,"discounted_cash":38.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":45.67,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.97,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":48.52,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":51.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":54.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":18.58,"methodology":"fee schedule"}]}]},{"description":"REPTILASE TIME REFLEX BILL","code_information":[{"code":"70621077","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":28.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"}]}]},{"description":"REPTILASE TIME REFLEX BILL","code_information":[{"code":"70621077","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.68,"maximum":39.9,"gross_charge":42,"discounted_cash":28.62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":35.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":37.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"}]}]},{"description":"THROMBIN TIME REFLEX BILL","code_information":[{"code":"70621078","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.5,"maximum":23.75,"gross_charge":25,"discounted_cash":17.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":22.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"}]}]},{"description":"THROMBIN TIME REFLEX BILL","code_information":[{"code":"70621078","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.14,"maximum":23.75,"gross_charge":25,"discounted_cash":17.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":22.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":8.14,"methodology":"fee schedule"}]}]},{"description":"PTT-D 1:1 MIX BILL","code_information":[{"code":"70621079","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.12,"maximum":26.6,"gross_charge":28,"discounted_cash":19.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"}]}]},{"description":"PTT-D 1:1 MIX BILL","code_information":[{"code":"70621079","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.12,"maximum":26.6,"gross_charge":28,"discounted_cash":19.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.64,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"}]}]},{"description":"CYTOGENOMIC SNP MICROARRAY","code_information":[{"code":"70621084","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":2656.26,"maximum":4673.05,"gross_charge":4919,"discounted_cash":3351.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3935.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2656.26,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4181.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4427.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3344.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":3148.16,"methodology":"fee schedule"}]}]},{"description":"CYTOGENOMIC SNP MICROARRAY","code_information":[{"code":"70621084","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":1601.14,"maximum":4673.05,"gross_charge":4919,"discounted_cash":3351.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3935.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":4181.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4427.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1967.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4673.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1869.22,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1601.14,"methodology":"fee schedule"}]}]},{"description":"VOLTAGE-GATED K CHANNEL ABSER","code_information":[{"code":"70621085","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.66,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":42.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":53.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.56,"methodology":"fee schedule"}]}]},{"description":"VOLTAGE-GATED K CHANNEL ABSER","code_information":[{"code":"70621085","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.72,"maximum":75.05,"gross_charge":79,"discounted_cash":53.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":63.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":44.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":67.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":71.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":31.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.02,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":25.72,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1MAJORQUANT","code_information":[{"code":"70621086","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":375.84,"maximum":661.2,"gross_charge":696,"discounted_cash":474.15,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":556.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":375.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":591.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":473.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":445.44,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1MAJORQUANT","code_information":[{"code":"70621086","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":226.55,"maximum":661.2,"gross_charge":696,"discounted_cash":474.15,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":556.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":389.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":591.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":626.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":661.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":226.55,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1MINORQUANT","code_information":[{"code":"70621087","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":332.1,"maximum":584.25,"gross_charge":615,"discounted_cash":418.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1MINORQUANT","code_information":[{"code":"70621087","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":200.19,"maximum":584.25,"gross_charge":615,"discounted_cash":418.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":492,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":522.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":246,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":584.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":200.19,"methodology":"fee schedule"}]}]},{"description":"BETA GLOBIN FULL GENE SEQ BILL","code_information":[{"code":"70621094","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":743.58,"maximum":1308.15,"gross_charge":1377,"discounted_cash":938.08,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1101.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":743.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1239.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":936.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":881.28,"methodology":"fee schedule"}]}]},{"description":"BETA GLOBIN FULL GENE SEQ BILL","code_information":[{"code":"70621094","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":448.22,"maximum":1308.15,"gross_charge":1377,"discounted_cash":938.08,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1101.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":771.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1170.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1239.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":550.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":523.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":448.22,"methodology":"fee schedule"}]}]},{"description":"ALPHA THAL HBA1 HBA2 SEQ BILL","code_information":[{"code":"70621095","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":1373.76,"maximum":2416.8,"gross_charge":2544,"discounted_cash":1733.09,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2035.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1373.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2162.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1729.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1628.16,"methodology":"fee schedule"}]}]},{"description":"ALPHA THAL HBA1 HBA2 SEQ BILL","code_information":[{"code":"70621095","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":828.08,"maximum":2416.8,"gross_charge":2544,"discounted_cash":1733.09,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2035.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2162.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":966.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":828.08,"methodology":"fee schedule"}]}]},{"description":"ALPHA GLOBIN HBA1 HBA2 DD BILL","code_information":[{"code":"70621097","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":463.86,"maximum":816.05,"gross_charge":859,"discounted_cash":585.19,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":687.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":463.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":730.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":773.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":584.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":549.76,"methodology":"fee schedule"}]}]},{"description":"ALPHA GLOBIN HBA1 HBA2 DD BILL","code_information":[{"code":"70621097","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":279.61,"maximum":816.05,"gross_charge":859,"discounted_cash":585.19,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":687.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":481.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":730.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":773.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":343.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":326.42,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":279.61,"methodology":"fee schedule"}]}]},{"description":"HCV BY QUANTITATIVE NAAT 1","code_information":[{"code":"70621111","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.16,"maximum":193.8,"gross_charge":204,"discounted_cash":138.98,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":110.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":173.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":138.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.56,"methodology":"fee schedule"}]}]},{"description":"HCV BY QUANTITATIVE NAAT 1","code_information":[{"code":"70621111","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.41,"maximum":193.8,"gross_charge":204,"discounted_cash":138.98,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":173.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":183.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":66.41,"methodology":"fee schedule"}]}]},{"description":"HIV-1 QUANTITATIVE NAATPLASM1","code_information":[{"code":"70621117","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":190.08,"maximum":334.4,"gross_charge":352,"discounted_cash":239.8,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":281.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":190.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":239.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.28,"methodology":"fee schedule"}]}]},{"description":"HIV-1 QUANTITATIVE NAATPLASM1","code_information":[{"code":"70621117","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":114.58,"maximum":334.4,"gross_charge":352,"discounted_cash":239.8,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":281.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":197.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":316.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":140.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":114.58,"methodology":"fee schedule"}]}]},{"description":"QUANTIFERON-TB GOLD PLUS4TUBE","code_information":[{"code":"70621124","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":142.02,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":142.02,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":178.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.32,"methodology":"fee schedule"}]}]},{"description":"QUANTIFERON-TB GOLD PLUS4TUBE","code_information":[{"code":"70621124","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.61,"maximum":249.85,"gross_charge":263,"discounted_cash":179.17,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":210.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":147.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":223.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":236.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":105.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.94,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":85.61,"methodology":"fee schedule"}]}]},{"description":"JAK2 V617F MUTATION DDPCRQNT","code_information":[{"code":"70621148","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":210.06,"maximum":369.55,"gross_charge":389,"discounted_cash":265.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":311.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":210.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":350.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.96,"methodology":"fee schedule"}]}]},{"description":"JAK2 V617F MUTATION DDPCRQNT","code_information":[{"code":"70621148","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":126.62,"maximum":369.55,"gross_charge":389,"discounted_cash":265.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":311.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":217.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":330.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":350.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":155.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":369.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":126.62,"methodology":"fee schedule"}]}]},{"description":"CREATININE24-HOUR URINE","code_information":[{"code":"70621153","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.19,"maximum":19.69,"gross_charge":20.72,"discounted_cash":14.12,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.19,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.62,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":14.09,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.27,"methodology":"fee schedule"}]}]},{"description":"CREATININE24-HOUR URINE","code_information":[{"code":"70621153","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.75,"maximum":19.69,"gross_charge":20.72,"discounted_cash":14.12,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16.58,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.61,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17.62,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8.29,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.75,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY VIRUS MINI PNL PCR","code_information":[{"code":"70621161","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":326.7,"maximum":574.75,"gross_charge":605,"discounted_cash":412.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":326.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":514.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":544.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":411.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.2,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY VIRUS MINI PNL PCR","code_information":[{"code":"70621161","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":196.93,"maximum":574.75,"gross_charge":605,"discounted_cash":412.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":484,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":338.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":514.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":544.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":242,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":574.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":196.93,"methodology":"fee schedule"}]}]},{"description":"DRUG DETECTION PNLU CORDQUAL","code_information":[{"code":"70621186","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":358.56,"maximum":630.8,"gross_charge":664,"discounted_cash":452.35,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":531.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":358.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":564.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":597.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":451.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":424.96,"methodology":"fee schedule"}]}]},{"description":"DRUG DETECTION PNLU CORDQUAL","code_information":[{"code":"70621186","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":216.14,"maximum":630.8,"gross_charge":664,"discounted_cash":452.35,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":531.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":371.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":564.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":597.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":265.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":630.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":252.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":216.14,"methodology":"fee schedule"}]}]},{"description":"MENINGITIS ENCEPHALITIS PCR","code_information":[{"code":"70621200","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":954.72,"maximum":1679.6,"gross_charge":1768,"discounted_cash":1204.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":954.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1591.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1202.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1131.52,"methodology":"fee schedule"}]}]},{"description":"MENINGITIS ENCEPHALITIS PCR","code_information":[{"code":"70621200","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":575.49,"maximum":1679.6,"gross_charge":1768,"discounted_cash":1204.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":990.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1591.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":707.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1679.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":671.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":575.49,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY VIRAL PNL BY PCR","code_information":[{"code":"70621204","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":499.5,"maximum":878.75,"gross_charge":925,"discounted_cash":630.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":499.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":786.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":832.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":629,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":592,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY VIRAL PNL BY PCR","code_information":[{"code":"70621204","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":301.09,"maximum":878.75,"gross_charge":925,"discounted_cash":630.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":740,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":518,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":786.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":832.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":370,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":878.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":301.09,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A VIRUS AB TOTAL C","code_information":[{"code":"70640008","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28.62,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.04,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.92,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A VIRUS AB TOTAL C","code_information":[{"code":"70640008","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.26,"maximum":50.35,"gross_charge":53,"discounted_cash":36.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":42.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":29.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":45.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":47.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":21.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.14,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"LYME ABSIGG IGM IMMUNO IGG C","code_information":[{"code":"70640020","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.64,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":35.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":44.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"}]}]},{"description":"LYME ABSIGG IGM IMMUNO IGG C","code_information":[{"code":"70640020","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.49,"maximum":62.7,"gross_charge":66,"discounted_cash":44.97,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":56.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":59.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":21.49,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONETOTAL IA C","code_information":[{"code":"70640051","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.75,"maximum":98.08,"gross_charge":103.24,"discounted_cash":70.34,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":82.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":55.75,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":87.76,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":70.21,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.08,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONETOTAL IA C","code_information":[{"code":"70640051","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.61,"maximum":98.08,"gross_charge":103.24,"discounted_cash":70.34,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":82.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":57.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":87.76,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":41.3,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":98.08,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.24,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":33.61,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONESHBG IA C","code_information":[{"code":"70640052","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":50.22,"maximum":88.35,"gross_charge":93,"discounted_cash":63.36,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":83.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":63.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONESHBG IA C","code_information":[{"code":"70640052","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.28,"maximum":88.35,"gross_charge":93,"discounted_cash":63.36,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":74.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":52.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":79.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":83.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":37.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":30.28,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONINT PTH C","code_information":[{"code":"70640057","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.8,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":91.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":115.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.8,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONINT PTH C","code_information":[{"code":"70640057","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.34,"maximum":161.5,"gross_charge":170,"discounted_cash":115.82,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":136,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":95.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":144.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":153,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":55.34,"methodology":"fee schedule"}]}]},{"description":"CHROM ANAL CONST BLD ANAL C","code_information":[{"code":"70640067","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":287.82,"maximum":506.35,"gross_charge":533,"discounted_cash":363.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":426.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":287.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":479.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":362.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.12,"methodology":"fee schedule"}]}]},{"description":"CHROM ANAL CONST BLD ANAL C","code_information":[{"code":"70640067","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":173.5,"maximum":506.35,"gross_charge":533,"discounted_cash":363.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":426.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":453.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":479.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":506.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":173.5,"methodology":"fee schedule"}]}]},{"description":"CHROM ANAL CONST BLD CUL C","code_information":[{"code":"70640068","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":266.76,"maximum":469.3,"gross_charge":494,"discounted_cash":336.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":266.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":419.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":335.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":316.16,"methodology":"fee schedule"}]}]},{"description":"CHROM ANAL CONST BLD CUL C","code_information":[{"code":"70640068","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":160.8,"maximum":469.3,"gross_charge":494,"discounted_cash":336.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":276.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":419.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":160.8,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME FISH CLL PNL 1 C","code_information":[{"code":"70640070","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":49.14,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.14,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":61.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.24,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME FISH CLL PNL 1 C","code_information":[{"code":"70640070","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":29.63,"maximum":86.45,"gross_charge":91,"discounted_cash":62,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":72.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":50.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":77.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":81.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":36.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":29.63,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME FISH CLL PNL IS1 C","code_information":[{"code":"70640074","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":117.72,"maximum":207.1,"gross_charge":218,"discounted_cash":148.52,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":196.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":139.52,"methodology":"fee schedule"}]}]},{"description":"CHROMOSOME FISH CLL PNL IS1 C","code_information":[{"code":"70640074","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":70.96,"maximum":207.1,"gross_charge":218,"discounted_cash":148.52,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":174.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":122.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":185.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":196.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":87.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":70.96,"methodology":"fee schedule"}]}]},{"description":"ANTIPHOSPHOLIPID PNL PT C","code_information":[{"code":"70640087","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.27,"maximum":16.31,"gross_charge":17.16,"discounted_cash":11.7,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.27,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":14.59,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":15.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.67,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.99,"methodology":"fee schedule"}]}]},{"description":"ANTIPHOSPHOLIPID PNL PT C","code_information":[{"code":"70640087","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.59,"maximum":16.31,"gross_charge":17.16,"discounted_cash":11.7,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":9.61,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":14.59,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":15.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":6.87,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":16.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":5.59,"methodology":"fee schedule"}]}]},{"description":"ANTIPHOSPHOLIPID PNL PTT C","code_information":[{"code":"70640088","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.04,"maximum":24.7,"gross_charge":26,"discounted_cash":17.72,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":22.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":23.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":17.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.64,"methodology":"fee schedule"}]}]},{"description":"ANTIPHOSPHOLIPID PNL PTT C","code_information":[{"code":"70640088","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.47,"maximum":24.7,"gross_charge":26,"discounted_cash":17.72,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":20.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":14.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":22.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":23.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":10.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":8.47,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1QUAL W/QNT RFLX OTH C","code_information":[{"code":"70640104","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":491.4,"maximum":864.5,"gross_charge":910,"discounted_cash":619.94,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":728,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":491.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":773.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":618.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":582.4,"methodology":"fee schedule"}]}]},{"description":"BCR-ABL1QUAL W/QNT RFLX OTH C","code_information":[{"code":"70640104","type":"CDM"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":296.21,"maximum":864.5,"gross_charge":910,"discounted_cash":619.94,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":728,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":509.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":773.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":819,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":364,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":296.21,"methodology":"fee schedule"}]}]},{"description":"LIVER FIBROSIS PNLBUN C","code_information":[{"code":"70640109","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.8,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"}]}]},{"description":"LIVER FIBROSIS PNLBUN C","code_information":[{"code":"70640109","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.51,"maximum":19,"gross_charge":20,"discounted_cash":13.63,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":11.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":6.51,"methodology":"fee schedule"}]}]},{"description":"HIV-1/2 AB DIFFSUPPL RFX 1 C","code_information":[{"code":"70640115","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.52,"maximum":36.1,"gross_charge":38,"discounted_cash":25.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":20.52,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":25.84,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.32,"methodology":"fee schedule"}]}]},{"description":"HIV-1/2 AB DIFFSUPPL RFX 1 C","code_information":[{"code":"70640115","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.37,"maximum":36.1,"gross_charge":38,"discounted_cash":25.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.44,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":12.37,"methodology":"fee schedule"}]}]},{"description":"PSA REFLEX 2 C","code_information":[{"code":"70640135","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.06,"maximum":84.55,"gross_charge":89,"discounted_cash":60.64,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":71.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":48.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":60.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.96,"methodology":"fee schedule"}]}]},{"description":"PSA REFLEX 2 C","code_information":[{"code":"70640135","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28.97,"maximum":84.55,"gross_charge":89,"discounted_cash":60.64,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":71.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":49.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":75.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":80.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":28.97,"methodology":"fee schedule"}]}]},{"description":"EXTENDED MYOSITIS PNL 15 C","code_information":[{"code":"70640154","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.96,"maximum":117.8,"gross_charge":124,"discounted_cash":84.48,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":84.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.36,"methodology":"fee schedule"}]}]},{"description":"EXTENDED MYOSITIS PNL 15 C","code_information":[{"code":"70640154","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.37,"maximum":117.8,"gross_charge":124,"discounted_cash":84.48,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":99.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":69.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":111.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":49.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.12,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.37,"methodology":"fee schedule"}]}]},{"description":"KIDNEY STONE RISK PNLCIT C","code_information":[{"code":"70640163","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.72,"maximum":112.1,"gross_charge":118,"discounted_cash":80.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":63.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":100.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":106.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":80.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.52,"methodology":"fee schedule"}]}]},{"description":"KIDNEY STONE RISK PNLCIT C","code_information":[{"code":"70640163","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.41,"maximum":112.1,"gross_charge":118,"discounted_cash":80.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":94.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":66.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":100.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":106.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":47.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.84,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":38.41,"methodology":"fee schedule"}]}]},{"description":"MONOCLONAL PROT STUDYIFX C","code_information":[{"code":"70640204","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.5,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":67.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"}]}]},{"description":"MONOCLONAL PROT STUDYIFX C","code_information":[{"code":"70640204","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.69,"maximum":118.75,"gross_charge":125,"discounted_cash":85.16,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":106.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":112.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":50,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":40.69,"methodology":"fee schedule"}]}]},{"description":"XR CHEST SINGLE VIEW FRONTAL","code_information":[{"code":"71045","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":278.1,"maximum":489.25,"gross_charge":515,"discounted_cash":350.85,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":412,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":278.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":437.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":463.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":350.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.6,"methodology":"fee schedule"}]}]},{"description":"XR CHEST SINGLE VIEW FRONTAL","code_information":[{"code":"71045","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":20.8,"maximum":489.25,"gross_charge":515,"discounted_cash":350.85,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":412,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":288.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":437.75,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":463.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":206,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":167.64,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 2 VIEW","code_information":[{"code":"71046","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":286.74,"maximum":504.45,"gross_charge":531,"discounted_cash":361.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":424.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":477.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":361.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":339.84,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 2 VIEW","code_information":[{"code":"71046","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":26.99,"maximum":504.45,"gross_charge":531,"discounted_cash":361.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":424.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":297.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":451.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":477.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":504.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":172.85,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 2VIEW FRONTAL&LATERAL","code_information":[{"code":"71046","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":305.64,"maximum":537.7,"gross_charge":566,"discounted_cash":385.59,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":452.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":305.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":481.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":509.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":384.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.24,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 2VIEW FRONTAL&LATERAL","code_information":[{"code":"71046","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":26.99,"maximum":537.7,"gross_charge":566,"discounted_cash":385.59,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":452.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":316.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":481.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":509.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":226.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":537.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.99,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":184.24,"methodology":"fee schedule"}]}]},{"description":"XR CHEST- W/ APICAL LORDOTIC","code_information":[{"code":"71047","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":298.08,"maximum":524.4,"gross_charge":552,"discounted_cash":376.05,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":298.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":469.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":375.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":353.28,"methodology":"fee schedule"}]}]},{"description":"XR CHEST- W/ APICAL LORDOTIC","code_information":[{"code":"71047","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":33.72,"maximum":524.4,"gross_charge":552,"discounted_cash":376.05,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":469.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":179.68,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 4 VEIWS OR MORE","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":314.28,"maximum":552.9,"gross_charge":582,"discounted_cash":396.49,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":314.28,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":494.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":523.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":395.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":372.48,"methodology":"fee schedule"}]}]},{"description":"XR CHEST 4 VEIWS OR MORE","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":36.68,"maximum":552.9,"gross_charge":582,"discounted_cash":396.49,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":325.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":494.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":523.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":232.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":552.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":189.45,"methodology":"fee schedule"}]}]},{"description":"XR CHEST COMPLETE 4+VIEWS","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":300.78,"maximum":529.15,"gross_charge":557,"discounted_cash":379.46,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":445.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":300.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":473.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":501.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":378.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":356.48,"methodology":"fee schedule"}]}]},{"description":"XR CHEST COMPLETE 4+VIEWS","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":36.68,"maximum":529.15,"gross_charge":557,"discounted_cash":379.46,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":445.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":311.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":473.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":501.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":222.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":181.31,"methodology":"fee schedule"}]}]},{"description":"XR RIBS BILAT 3-VIEW","code_information":[{"code":"71110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":489.24,"maximum":860.7,"gross_charge":906,"discounted_cash":617.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":724.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":489.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":815.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":616.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":579.84,"methodology":"fee schedule"}]}]},{"description":"XR RIBS BILAT 3-VIEW","code_information":[{"code":"71110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":35.06,"maximum":860.7,"gross_charge":906,"discounted_cash":617.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":507.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":770.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":815.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":362.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":860.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":294.91,"methodology":"fee schedule"}]}]},{"description":"EXT ECG>7D<15D REV&INTERP J","code_information":[{"code":"71110001","type":"CDM"},{"code":"0985","type":"RC"}],"standard_charges":[{"minimum":354.78,"maximum":624.15,"gross_charge":657,"discounted_cash":447.58,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":354.78,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":446.76,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":420.48,"methodology":"fee schedule"}]}]},{"description":"EXT ECG>7D<15D REV&INTERP J","code_information":[{"code":"71110001","type":"CDM"},{"code":"0985","type":"RC"}],"standard_charges":[{"minimum":213.86,"maximum":624.15,"gross_charge":657,"discounted_cash":447.58,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":367.92,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":558.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":624.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":249.66,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":213.86,"methodology":"fee schedule"}]}]},{"description":"XR RIBS BILATERAL & PA CHEST","code_information":[{"code":"71111","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":498.96,"maximum":877.8,"gross_charge":924,"discounted_cash":629.47,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":739.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":498.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":785.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":831.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":628.32,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":591.36,"methodology":"fee schedule"}]}]},{"description":"XR RIBS BILATERAL & PA CHEST","code_information":[{"code":"71111","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":41.98,"maximum":877.8,"gross_charge":924,"discounted_cash":629.47,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":111.1,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":517.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":785.4,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":831.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":877.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":300.77,"methodology":"fee schedule"}]}]},{"description":"RHYTHM STRIP W/ INTERP","code_information":[{"code":"71112808","type":"CDM"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":86.94,"maximum":152.95,"gross_charge":161,"discounted_cash":109.69,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.04,"methodology":"fee schedule"}]}]},{"description":"RHYTHM STRIP W/ INTERP","code_information":[{"code":"71112808","type":"CDM"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":52.41,"maximum":152.95,"gross_charge":161,"discounted_cash":109.69,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":136.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":144.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.18,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":52.41,"methodology":"fee schedule"}]}]},{"description":"XR STERNUM","code_information":[{"code":"71120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":237.06,"maximum":417.05,"gross_charge":439,"discounted_cash":299.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":351.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":373.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":395.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":298.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":280.96,"methodology":"fee schedule"}]}]},{"description":"XR STERNUM","code_information":[{"code":"71120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":26.73,"maximum":417.05,"gross_charge":439,"discounted_cash":299.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":66.66,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":245.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":373.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":395.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":175.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.73,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":142.9,"methodology":"fee schedule"}]}]},{"description":"XR STERNOCLAV JOINTS","code_information":[{"code":"71130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":237.6,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":352,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":237.6,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":299.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":281.6,"methodology":"fee schedule"}]}]},{"description":"XR STERNOCLAV JOINTS","code_information":[{"code":"71130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":32.93,"maximum":418,"gross_charge":440,"discounted_cash":299.75,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":79.79,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":246.4,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":374,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":396,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":176,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":143.22,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O CONTRAST","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1354.32,"maximum":2382.6,"gross_charge":2508,"discounted_cash":1708.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2006.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1354.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1605.12,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O CONTRAST","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":108.35,"maximum":2382.6,"gross_charge":2508,"discounted_cash":1708.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1404.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1003.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":816.36,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O HI RESLUTN","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1409.94,"maximum":2480.45,"gross_charge":2611,"discounted_cash":1778.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2088.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1409.94,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2349.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1775.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1671.04,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O HI RESLUTN","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":108.35,"maximum":2480.45,"gross_charge":2611,"discounted_cash":1778.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":596.91,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2349.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2480.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":849.89,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/CONTRAST","code_information":[{"code":"71260","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1855.44,"maximum":3264.2,"gross_charge":3436,"discounted_cash":2340.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2748.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2920.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3092.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2336.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2199.04,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/CONTRAST","code_information":[{"code":"71260","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":136.03,"maximum":3264.2,"gross_charge":3436,"discounted_cash":2340.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":743.36,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1924.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2920.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3092.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1374.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.03,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1118.42,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O W/CONTRAST","code_information":[{"code":"71270","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1911.06,"maximum":3362.05,"gross_charge":3539,"discounted_cash":2410.93,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2831.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1911.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3008.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3185.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2406.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2264.96,"methodology":"fee schedule"}]}]},{"description":"CT THORAX/CHEST W/O W/CONTRAST","code_information":[{"code":"71270","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":159.93,"maximum":3362.05,"gross_charge":3539,"discounted_cash":2410.93,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":935.26,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3008.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3185.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1415.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3362.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1151.95,"methodology":"fee schedule"}]}]},{"description":"CTA CHEST W&W/O + RECNST","code_information":[{"code":"71275","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2222.64,"maximum":3910.2,"gross_charge":4116,"discounted_cash":2804,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3292.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2222.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3498.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3704.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2798.88,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2634.24,"methodology":"fee schedule"}]}]},{"description":"CTA CHEST W&W/O + RECNST","code_information":[{"code":"71275","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":229.97,"maximum":3910.2,"gross_charge":4116,"discounted_cash":2804,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.21,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2304.96,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3498.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3704.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1646.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3910.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.97,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1339.76,"methodology":"fee schedule"}]}]},{"description":"STEROTATIC BX NDL (STANDARD)","code_information":[{"code":"71300150","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":399.06,"maximum":702.05,"gross_charge":739,"discounted_cash":503.44,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":591.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":399.06,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":628.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":665.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":502.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":472.96,"methodology":"fee schedule"}]}]},{"description":"STEROTATIC BX NDL (STANDARD)","code_information":[{"code":"71300150","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":240.55,"maximum":702.05,"gross_charge":739,"discounted_cash":503.44,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":591.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":413.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":628.15,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":665.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":295.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":702.05,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":280.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":240.55,"methodology":"fee schedule"}]}]},{"description":"XR THORACENTESIS TRAY-AK1000","code_information":[{"code":"71301125","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":125.82,"maximum":221.35,"gross_charge":233,"discounted_cash":158.73,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":125.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":198.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":209.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":158.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.12,"methodology":"fee schedule"}]}]},{"description":"XR THORACENTESIS TRAY-AK1000","code_information":[{"code":"71301125","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":75.85,"maximum":221.35,"gross_charge":233,"discounted_cash":158.73,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":186.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":130.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":198.05,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":209.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":93.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.54,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":75.85,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS NEPHROSTOMY SET","code_information":[{"code":"71303043","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":556.74,"maximum":979.45,"gross_charge":1031,"discounted_cash":702.37,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":824.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":556.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":876.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":927.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":701.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":659.84,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS NEPHROSTOMY SET","code_information":[{"code":"71303043","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":335.6,"maximum":979.45,"gross_charge":1031,"discounted_cash":702.37,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":824.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":577.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":876.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":927.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":412.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":979.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":391.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":335.6,"methodology":"fee schedule"}]}]},{"description":"INJ PROC ELBOW ARTHGHY CT/MRI","code_information":[{"code":"71303109","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":347.22,"maximum":610.85,"gross_charge":643,"discounted_cash":438.04,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":514.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":347.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":546.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":578.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":437.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":411.52,"methodology":"fee schedule"}]}]},{"description":"INJ PROC ELBOW ARTHGHY CT/MRI","code_information":[{"code":"71303109","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":209.3,"maximum":610.85,"gross_charge":643,"discounted_cash":438.04,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":514.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":360.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":546.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":578.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":257.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":244.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":209.3,"methodology":"fee schedule"}]}]},{"description":"XR CATHETER-ENTEROCLYSIS","code_information":[{"code":"71305237","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":365.58,"maximum":643.15,"gross_charge":677,"discounted_cash":461.21,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":541.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.58,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":575.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":609.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":460.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":433.28,"methodology":"fee schedule"}]}]},{"description":"XR CATHETER-ENTEROCLYSIS","code_information":[{"code":"71305237","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":220.37,"maximum":643.15,"gross_charge":677,"discounted_cash":461.21,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":541.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":379.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":575.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":609.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":270.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.26,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":220.37,"methodology":"fee schedule"}]}]},{"description":"XR MYELOGRAPHY W/INJ 2+ RGNS","code_information":[{"code":"71307238","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1666.44,"maximum":2931.7,"gross_charge":3086,"discounted_cash":2102.32,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2468.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1666.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2777.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2098.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1975.04,"methodology":"fee schedule"}]}]},{"description":"XR MYELOGRAPHY W/INJ 2+ RGNS","code_information":[{"code":"71307238","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1004.5,"maximum":2931.7,"gross_charge":3086,"discounted_cash":2102.32,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2468.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1728.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.1,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2777.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1234.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1172.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1004.5,"methodology":"fee schedule"}]}]},{"description":"INJ TRIGGER POINT 1-2 MUSCLE","code_information":[{"code":"71309201","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":357.48,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":357.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":450.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.68,"methodology":"fee schedule"}]}]},{"description":"INJ TRIGGER POINT 1-2 MUSCLE","code_information":[{"code":"71309201","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":215.49,"maximum":628.9,"gross_charge":662,"discounted_cash":450.99,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":529.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":562.7,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":595.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":264.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":628.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.56,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":215.49,"methodology":"fee schedule"}]}]},{"description":"INTRO GUIDE NEPHROSTOMY PERC","code_information":[{"code":"71309204","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":2437.56,"maximum":4288.3,"gross_charge":4514,"discounted_cash":3075.14,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3836.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":3069.52,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2888.96,"methodology":"fee schedule"}]}]},{"description":"INTRO GUIDE NEPHROSTOMY PERC","code_information":[{"code":"71309204","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1469.31,"maximum":4288.3,"gross_charge":4514,"discounted_cash":3075.14,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3611.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2527.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3836.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1805.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4288.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1715.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1469.31,"methodology":"fee schedule"}]}]},{"description":"SPINAL PUNCTURETHERAPEUTIC","code_information":[{"code":"71309229","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":407.16,"maximum":716.3,"gross_charge":754,"discounted_cash":513.66,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":603.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":407.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":640.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":678.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":512.72,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":482.56,"methodology":"fee schedule"}]}]},{"description":"SPINAL PUNCTURETHERAPEUTIC","code_information":[{"code":"71309229","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":245.43,"maximum":716.3,"gross_charge":754,"discounted_cash":513.66,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":603.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":422.24,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":640.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":678.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":301.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":716.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":286.52,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":245.43,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP 1ST LESN W/O","code_information":[{"code":"71309265","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":272.7,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":272.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":343.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":323.2,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP 1ST LESN W/O","code_information":[{"code":"71309265","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":164.38,"maximum":479.75,"gross_charge":505,"discounted_cash":344.03,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":404,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":282.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":429.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":454.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":202,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":479.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":164.38,"methodology":"fee schedule"}]}]},{"description":"XR BREAST NEEDLE FOR LOCALZTN","code_information":[{"code":"71309950","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":105.84,"maximum":186.2,"gross_charge":196,"discounted_cash":133.53,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":133.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.44,"methodology":"fee schedule"}]}]},{"description":"XR BREAST NEEDLE FOR LOCALZTN","code_information":[{"code":"71309950","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":63.8,"maximum":186.2,"gross_charge":196,"discounted_cash":133.53,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":156.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":109.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":166.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":176.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":78.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.48,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":63.8,"methodology":"fee schedule"}]}]},{"description":"XR BREAST CAP F/NDL LOCALZTN","code_information":[{"code":"71309951","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":199.8,"maximum":351.5,"gross_charge":370,"discounted_cash":252.07,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":199.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":314.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":251.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.8,"methodology":"fee schedule"}]}]},{"description":"XR BREAST CAP F/NDL LOCALZTN","code_information":[{"code":"71309951","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":120.44,"maximum":351.5,"gross_charge":370,"discounted_cash":252.07,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":296,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":207.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":314.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":333,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":148,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":120.44,"methodology":"fee schedule"}]}]},{"description":"XR VTC NEPHRSTMY SYS","code_information":[{"code":"71309954","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":247.32,"maximum":435.1,"gross_charge":458,"discounted_cash":312.01,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":366.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":247.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":389.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":412.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":311.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.12,"methodology":"fee schedule"}]}]},{"description":"XR VTC NEPHRSTMY SYS","code_information":[{"code":"71309954","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":149.08,"maximum":435.1,"gross_charge":458,"discounted_cash":312.01,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":366.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":256.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":389.3,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":412.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":183.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":149.08,"methodology":"fee schedule"}]}]},{"description":"XR CORE TRAY W/NEEDLE","code_information":[{"code":"71309960","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":175.5,"maximum":308.75,"gross_charge":325,"discounted_cash":221.41,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":175.5,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":276.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":221,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":208,"methodology":"fee schedule"}]}]},{"description":"XR CORE TRAY W/NEEDLE","code_information":[{"code":"71309960","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":105.79,"maximum":308.75,"gross_charge":325,"discounted_cash":221.41,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":260,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":182,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":276.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":292.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":130,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":105.79,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W/O CONTRAST","code_information":[{"code":"71550","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1874.34,"maximum":3297.45,"gross_charge":3471,"discounted_cash":2364.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2776.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1874.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2950.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3123.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2360.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2221.44,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W/O CONTRAST","code_information":[{"code":"71550","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":273.61,"maximum":3297.45,"gross_charge":3471,"discounted_cash":2364.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1470.56,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1943.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2950.35,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3123.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1388.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3297.45,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.61,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1129.82,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W/CONTRAST","code_information":[{"code":"71551","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2164.86,"maximum":3808.55,"gross_charge":4009,"discounted_cash":2731.11,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3207.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2164.86,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3407.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3608.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2726.12,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2565.76,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W/CONTRAST","code_information":[{"code":"71551","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":304.72,"maximum":3808.55,"gross_charge":4009,"discounted_cash":2731.11,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1644.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2245.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3407.65,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3608.1,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":3808.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1304.93,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W & W/O CONTRAST","code_information":[{"code":"71552","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2312.82,"maximum":4068.85,"gross_charge":4283,"discounted_cash":2917.77,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":3426.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2312.82,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3640.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3854.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":2912.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":2741.12,"methodology":"fee schedule"}]}]},{"description":"MRI CHEST W & W/O CONTRAST","code_information":[{"code":"71552","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":382.78,"maximum":4068.85,"gross_charge":4283,"discounted_cash":2917.77,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2167.46,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":2398.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":3640.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":3854.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1713.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":382.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":1394.12,"methodology":"fee schedule"}]}]},{"description":"UL ECHO GUIDANCE RADIOTHERAPY","code_information":[{"code":"71700800","type":"CDM"},{"code":"0333","type":"RC"}],"standard_charges":[{"minimum":352.08,"maximum":619.4,"gross_charge":652,"discounted_cash":444.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":521.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":352.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":554.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":586.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":443.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":417.28,"methodology":"fee schedule"}]}]},{"description":"UL ECHO GUIDANCE RADIOTHERAPY","code_information":[{"code":"71700800","type":"CDM"},{"code":"0333","type":"RC"}],"standard_charges":[{"minimum":212.23,"maximum":619.4,"gross_charge":652,"discounted_cash":444.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":521.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":365.12,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":554.2,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":586.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":260.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":619.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.76,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":212.23,"methodology":"fee schedule"}]}]},{"description":"US FETAL UMBILICAL ARTERY","code_information":[{"code":"71701010","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":286.2,"maximum":503.5,"gross_charge":530,"discounted_cash":361.06,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":424,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":286.2,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":450.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":477,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":360.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":339.2,"methodology":"fee schedule"}]}]},{"description":"US FETAL UMBILICAL ARTERY","code_information":[{"code":"71701010","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":172.52,"maximum":503.5,"gross_charge":530,"discounted_cash":361.06,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":424,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":296.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":450.5,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":477,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":212,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":503.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":172.52,"methodology":"fee schedule"}]}]},{"description":"US AAA SCREENING","code_information":[{"code":"71701027","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":457.38,"maximum":804.65,"gross_charge":847,"discounted_cash":577.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":457.38,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":762.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":575.96,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":542.08,"methodology":"fee schedule"}]}]},{"description":"US AAA SCREENING","code_information":[{"code":"71701027","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":275.7,"maximum":804.65,"gross_charge":847,"discounted_cash":577.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":677.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":474.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":719.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":762.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":338.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":804.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.86,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":275.7,"methodology":"fee schedule"}]}]},{"description":"ELASTOGRAPHY OF LIVER","code_information":[{"code":"71709318","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":216.54,"maximum":380.95,"gross_charge":401,"discounted_cash":273.18,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":320.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":216.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":340.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":360.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":272.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.64,"methodology":"fee schedule"}]}]},{"description":"ELASTOGRAPHY OF LIVER","code_information":[{"code":"71709318","type":"CDM"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":130.53,"maximum":380.95,"gross_charge":401,"discounted_cash":273.18,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":320.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":224.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":340.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":360.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":160.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":380.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":152.38,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":130.53,"methodology":"fee schedule"}]}]},{"description":"CELERO BIOPSY GUN (DISPSBL)","code_information":[{"code":"71709500","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":380.7,"maximum":669.75,"gross_charge":705,"discounted_cash":480.28,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":564,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":599.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":634.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":479.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":451.2,"methodology":"fee schedule"}]}]},{"description":"CELERO BIOPSY GUN (DISPSBL)","code_information":[{"code":"71709500","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":229.48,"maximum":669.75,"gross_charge":705,"discounted_cash":480.28,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":564,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":394.8,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":599.25,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":634.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":282,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":669.75,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":267.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":229.48,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTRST QUAN CALCIUM","code_information":[{"code":"71800012","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1393.74,"maximum":2451.95,"gross_charge":2581,"discounted_cash":1758.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2064.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.74,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2193.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2322.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1755.08,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1651.84,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTRST QUAN CALCIUM","code_information":[{"code":"71800012","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":840.12,"maximum":2451.95,"gross_charge":2581,"discounted_cash":1758.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2064.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1445.36,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2193.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2322.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1032.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":980.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":840.12,"methodology":"fee schedule"}]}]},{"description":"CT HEART W/WO CONTRST FUNCTION","code_information":[{"code":"71800013","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1337.04,"maximum":2352.2,"gross_charge":2476,"discounted_cash":1686.76,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1337.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2104.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1683.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1584.64,"methodology":"fee schedule"}]}]},{"description":"CT HEART W/WO CONTRST FUNCTION","code_information":[{"code":"71800013","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":805.94,"maximum":2352.2,"gross_charge":2476,"discounted_cash":1686.76,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1386.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2104.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":990.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":940.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":805.94,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTST DISEASE STRXR","code_information":[{"code":"71800014","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1391.04,"maximum":2447.2,"gross_charge":2576,"discounted_cash":1754.89,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1391.04,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2189.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2318.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1751.68,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1648.64,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTST DISEASE STRXR","code_information":[{"code":"71800014","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":838.49,"maximum":2447.2,"gross_charge":2576,"discounted_cash":1754.89,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2060.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1442.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2189.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2318.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":978.88,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":838.49,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO STRXR QUAN CALCIUM","code_information":[{"code":"71800016","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1535.22,"maximum":2700.85,"gross_charge":2843,"discounted_cash":1936.78,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2274.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1535.22,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2558.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1933.24,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1819.52,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO STRXR QUAN CALCIUM","code_information":[{"code":"71800016","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":925.4,"maximum":2700.85,"gross_charge":2843,"discounted_cash":1936.78,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2274.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2416.55,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2558.7,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1137.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2700.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1080.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":925.4,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTRAST STRXR","code_information":[{"code":"71800017","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1454.76,"maximum":2559.3,"gross_charge":2694,"discounted_cash":1835.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2155.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1454.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2424.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1831.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1724.16,"methodology":"fee schedule"}]}]},{"description":"CCTA W/WO CONTRAST STRXR","code_information":[{"code":"71800017","type":"CDM"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":876.9,"maximum":2559.3,"gross_charge":2694,"discounted_cash":1835.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2155.2,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1508.64,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.9,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2424.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1077.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2559.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1023.72,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":876.9,"methodology":"fee schedule"}]}]},{"description":"CT (LDCT) LOW DOSE CT SCAN SCR","code_information":[{"code":"71802060","type":"CDM"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1261.44,"maximum":2219.2,"gross_charge":2336,"discounted_cash":1591.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1261.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1588.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1495.04,"methodology":"fee schedule"}]}]},{"description":"CT (LDCT) LOW DOSE CT SCAN SCR","code_information":[{"code":"71802060","type":"CDM"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":760.37,"maximum":2219.2,"gross_charge":2336,"discounted_cash":1591.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":934.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":887.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":760.37,"methodology":"fee schedule"}]}]},{"description":"INITIAL LUNG CT SCREENING","code_information":[{"code":"71802468","type":"CDM"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":1354.32,"maximum":2382.6,"gross_charge":2508,"discounted_cash":1708.56,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2006.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1354.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1705.44,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1605.12,"methodology":"fee schedule"}]}]},{"description":"INITIAL LUNG CT SCREENING","code_information":[{"code":"71802468","type":"CDM"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":816.36,"maximum":2382.6,"gross_charge":2508,"discounted_cash":1708.56,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":2006.4,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1404.48,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":2131.8,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2257.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1003.2,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2382.6,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":953.04,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":816.36,"methodology":"fee schedule"}]}]},{"description":"ANNUAL F/U LUNG CT SCREEN","code_information":[{"code":"71802469","type":"CDM"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":1261.44,"maximum":2219.2,"gross_charge":2336,"discounted_cash":1591.39,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1261.44,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1588.48,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1495.04,"methodology":"fee schedule"}]}]},{"description":"ANNUAL F/U LUNG CT SCREEN","code_information":[{"code":"71802469","type":"CDM"},{"code":"0350","type":"RC"}],"standard_charges":[{"minimum":760.37,"maximum":2219.2,"gross_charge":2336,"discounted_cash":1591.39,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1868.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.16,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1985.6,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":934.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.2,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":887.68,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":760.37,"methodology":"fee schedule"}]}]},{"description":"BIOPSY ABDOMINAL MASS","code_information":[{"code":"71809108","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":875.34,"maximum":1539.95,"gross_charge":1621,"discounted_cash":1104.3,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":875.34,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1377.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1458.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":1102.28,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":1037.44,"methodology":"fee schedule"}]}]},{"description":"BIOPSY ABDOMINAL MASS","code_information":[{"code":"71809108","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":527.64,"maximum":1539.95,"gross_charge":1621,"discounted_cash":1104.3,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":1296.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":907.76,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":1377.85,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":1458.9,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":648.4,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":615.98,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":527.64,"methodology":"fee schedule"}]}]},{"description":"BX BONE TRCR/NDL SUPERFICIAL","code_information":[{"code":"71809112","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":370.98,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":370.98,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":467.16,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"}]}]},{"description":"BX BONE TRCR/NDL SUPERFICIAL","code_information":[{"code":"71809112","type":"CDM"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":223.62,"maximum":652.65,"gross_charge":687,"discounted_cash":468.02,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":549.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":384.72,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":583.95,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":618.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":274.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":652.65,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":261.06,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":223.62,"methodology":"fee schedule"}]}]},{"description":"BALANCED SALT SOLN 15 ML BTL","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900039","type":"CDM"},{"code":"0250","type":"RC"},{"code":"00065-0795-15","type":"NDC"}],"standard_charges":[{"minimum":32.13,"maximum":56.53,"gross_charge":59.5,"discounted_cash":40.54,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":32.13,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.58,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":40.46,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"}]}]},{"description":"BALANCED SALT SOLN 15 ML BTL","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900039","type":"CDM"},{"code":"0250","type":"RC"},{"code":"00065-0795-15","type":"NDC"}],"standard_charges":[{"minimum":19.37,"maximum":56.53,"gross_charge":59.5,"discounted_cash":40.54,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":47.6,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":33.32,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":50.58,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":53.55,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.61,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":19.37,"methodology":"fee schedule"}]}]},{"description":"BENAZEPRIL HCL 10 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900045","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00832-1054-11","type":"NDC"}],"standard_charges":[{"minimum":17.75,"maximum":31.23,"gross_charge":32.87,"discounted_cash":22.4,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":26.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17.75,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":29.59,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":22.36,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"}]}]},{"description":"BENAZEPRIL HCL 10 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900045","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00832-1054-11","type":"NDC"}],"standard_charges":[{"minimum":10.7,"maximum":31.23,"gross_charge":32.87,"discounted_cash":22.4,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":26.3,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":18.41,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":29.59,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":13.15,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":31.23,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.5,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":10.7,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900058","type":"CDM"},{"code":"0637","type":"RC"},{"code":"62584-0994-01","type":"NDC"}],"standard_charges":[{"minimum":16.1,"maximum":28.31,"gross_charge":29.8,"discounted_cash":20.31,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.1,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.33,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.27,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.08,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900058","type":"CDM"},{"code":"0637","type":"RC"},{"code":"62584-0994-01","type":"NDC"}],"standard_charges":[{"minimum":9.7,"maximum":28.31,"gross_charge":29.8,"discounted_cash":20.31,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.84,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.69,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.33,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.82,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.33,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.7,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 2.5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900059","type":"CDM"},{"code":"0637","type":"RC"},{"code":"68084-0027-01","type":"NDC"}],"standard_charges":[{"minimum":16.09,"maximum":28.3,"gross_charge":29.78,"discounted_cash":20.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.09,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.26,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 2.5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900059","type":"CDM"},{"code":"0637","type":"RC"},{"code":"68084-0027-01","type":"NDC"}],"standard_charges":[{"minimum":9.7,"maximum":28.3,"gross_charge":29.78,"discounted_cash":20.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.83,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.81,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.92,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.3,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.7,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 2 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900060","type":"CDM"},{"code":"0637","type":"RC"},{"code":"62584-0984-01","type":"NDC"}],"standard_charges":[{"minimum":16.08,"maximum":28.29,"gross_charge":29.77,"discounted_cash":20.29,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.08,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.31,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.25,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 2 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900060","type":"CDM"},{"code":"0637","type":"RC"},{"code":"62584-0984-01","type":"NDC"}],"standard_charges":[{"minimum":9.7,"maximum":28.29,"gross_charge":29.77,"discounted_cash":20.29,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.82,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.68,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.31,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.8,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.91,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.32,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.7,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 7.5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900061","type":"CDM"},{"code":"0637","type":"RC"},{"code":"65162-0768-10","type":"NDC"}],"standard_charges":[{"minimum":16.39,"maximum":28.83,"gross_charge":30.34,"discounted_cash":20.67,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.39,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.79,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.42,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 7.5 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900061","type":"CDM"},{"code":"0637","type":"RC"},{"code":"65162-0768-10","type":"NDC"}],"standard_charges":[{"minimum":9.88,"maximum":28.83,"gross_charge":30.34,"discounted_cash":20.67,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":24.28,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.79,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":27.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":12.14,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.83,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.88,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 1 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900063","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00093-1712-01","type":"NDC"}],"standard_charges":[{"minimum":16.07,"maximum":28.27,"gross_charge":29.75,"discounted_cash":20.27,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.29,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.23,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 1 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900063","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00093-1712-01","type":"NDC"}],"standard_charges":[{"minimum":9.69,"maximum":28.27,"gross_charge":29.75,"discounted_cash":20.27,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.8,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.66,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.29,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.78,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.9,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.27,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.31,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.69,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 4 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900064","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00093-1716-01","type":"NDC"}],"standard_charges":[{"minimum":16.11,"maximum":28.34,"gross_charge":29.83,"discounted_cash":20.33,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.11,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":20.29,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.1,"methodology":"fee schedule"}]}]},{"description":"WARFARIN SOD 4 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900064","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00093-1716-01","type":"NDC"}],"standard_charges":[{"minimum":9.71,"maximum":28.34,"gross_charge":29.83,"discounted_cash":20.33,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.87,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.71,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":25.36,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":26.85,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.94,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.34,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.71,"methodology":"fee schedule"}]}]},{"description":"VITAMIN E 400 UNITS CAP","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900066","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00536-4799-01","type":"NDC"}],"standard_charges":[{"minimum":15.57,"maximum":27.39,"gross_charge":28.83,"discounted_cash":19.65,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.57,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.51,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.61,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.46,"methodology":"fee schedule"}]}]},{"description":"VITAMIN E 400 UNITS CAP","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900066","type":"CDM"},{"code":"0637","type":"RC"},{"code":"00536-4799-01","type":"NDC"}],"standard_charges":[{"minimum":9.39,"maximum":27.39,"gross_charge":28.83,"discounted_cash":19.65,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.07,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.51,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.95,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.54,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.96,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.39,"methodology":"fee schedule"}]}]},{"description":"PYRIDOXINE HCL 50 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900067","type":"CDM"},{"code":"0637","type":"RC"},{"code":"10006-0700-12","type":"NDC"}],"standard_charges":[{"minimum":15.54,"maximum":27.33,"gross_charge":28.76,"discounted_cash":19.6,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.01,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.54,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.56,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.41,"methodology":"fee schedule"}]}]},{"description":"PYRIDOXINE HCL 50 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900067","type":"CDM"},{"code":"0637","type":"RC"},{"code":"10006-0700-12","type":"NDC"}],"standard_charges":[{"minimum":9.37,"maximum":27.33,"gross_charge":28.76,"discounted_cash":19.6,"setting":"outpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.01,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":16.11,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.45,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.89,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":11.51,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dollar":27.33,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Medicare|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"}]}]},{"description":"THIAMINE HCL 100 MG TAB","drug_information": {"unit": 1,"type": "EA"},"code_information":[{"code":"71900068","type":"CDM"},{"code":"0637","type":"RC"},{"code":"87701-0407-29","type":"NDC"}],"standard_charges":[{"minimum":15.56,"maximum":27.37,"gross_charge":28.81,"discounted_cash":19.63,"setting":"inpatient","payers_information":[{"payer_name":"Aetna","plan_name":"Commercial|All Plans","standard_charge_dollar":27.37,"methodology":"fee schedule"},{"payer_name":"BCBS - Regence","plan_name":"Commercial|All Plans","standard_charge_dollar":23.05,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Commercial|All Plans","standard_charge_dollar":15.56,"methodology":"fee schedule"},{"payer_name":"First Choice","plan_name":"Commercial|All Plans","standard_charge_dollar":24.49,"methodology":"fee schedule"},{"payer_name":"HealthNet","plan_name":"Commercial|All Plans","standard_charge_dollar":25.93,"methodology":"fee schedule"},{"payer_name":"Moda Health","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"PacificSource","plan_name":"Commercial|All Plans","standard_charge_dollar":27.37,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.37,"methodology":"fee schedule"},{"payer_name":"Providence","plan_name":"Commercial|PPO","standard_charge_dollar":27.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Plans","standard_charge_dolla