Colonoscopy Cost in Miami-Fort Lauderdale-West Palm Beach, FL

A colonoscopy is an outpatient procedure in which a physician guides a flexible, lighted tube with a camera through the rectum to view the lining of the large intestine. The camera transmits images to a monitor, and the same instrument can pass small tools to remove tissue samples. The facility fee covers the hospital's procedure room, endoscopy equipment, nursing staff, and recovery area. Prices on this page come from CMS-mandated hospital price transparency files. Two billing codes apply: HCPCS 45378 (Screening Colonoscopy) and HCPCS 45380 (Colonoscopy with Biopsy), which includes tissue sampling.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-10-13

Data may be outdated

This hospital's pricing file has not been updated since 12/2/2025 (317 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.

Incomplete rows: Some hospitals publish $0 / blank amounts for this procedure in their transparency file. Those cells show as N/A and are excluded from the cash range above.

Screening Colonoscopy (HCPCS 45378)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Cleveland Clinic Weston	$1,434	$932.10	$55.82	$6,317	Schedule →
HCA Aventura	N/A	N/A	$1,336.89	$9,710	Schedule →
HCA JFK	N/A	N/A	$1,287.39	$9,710	Schedule →
HCA JFK North	N/A	N/A	$1,287.39	$9,710	Schedule →
HCA Kendall	N/A	N/A	$1,336.89	$9,710	Schedule →
HCA Mercy	N/A	N/A	$1,336.89	$9,710	Schedule →
HCA Northwest	N/A	N/A	$1,347.93	$9,710	Schedule →
HCA Palms West	N/A	N/A	$1,287.39	$9,710	Schedule →
HCA University	N/A	N/A	$1,376.30	$9,710	Schedule →
HCA Westside	N/A	N/A	$1,347.93	$9,710	Schedule →
HCA Woodmont	N/A	N/A	$1,347.93	$9,710	Schedule →
Holy Cross Fort Lauderdale *	$698	$698 *	$58.36	$10,114	Schedule →
Lakeside Medical Center	$2,616	$915.16	$66.88	$2,459.17	Schedule →
Memorial Miramar	$5,131	$3,591.70	$619.82	$4,361.35	Schedule →
Memorial Pembroke	$5,131	$3,591.70	$619.82	$4,361.35	Schedule →
Memorial West	$5,131	$3,591.70	$619.82	$4,361.35	Schedule →
Memorial Regional	$5,131	$3,591.70	$619.82	$4,361.35	Schedule →
Mount Sinai Miami Beach *	$2,515	$2,515 *	$129.72	$8,831	Schedule →
Nicklaus Children's	N/A	N/A	$97.91	$16,655	Schedule →

* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

Colonoscopy with Biopsy (HCPCS 45380)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Cleveland Clinic Weston	$1,566	$1,017.90	$190.59	$6,317	Schedule →
HCA Aventura	N/A	N/A	$1,950	$9,710	Schedule →
HCA JFK	N/A	N/A	$1,950	$9,710	Schedule →
HCA JFK North	N/A	N/A	$1,495	$9,710	Schedule →
HCA Kendall	N/A	N/A	$1,950	$9,710	Schedule →
HCA Mercy	N/A	N/A	$1,950	$9,710	Schedule →
HCA Northwest	N/A	N/A	$1,950	$9,710	Schedule →
HCA Palms West	N/A	N/A	$1,950	$9,710	Schedule →
HCA University	N/A	N/A	$1,950	$9,710	Schedule →
HCA Westside	N/A	N/A	$1,950	$9,710	Schedule →
HCA Woodmont	N/A	N/A	$1,950	$9,710	Schedule →
Holy Cross Fort Lauderdale *	$765	$765 *	$63.48	$12,317	Schedule →
Lakeside Medical Center	$2,370	$1,183.54	$66.88	$3,526.37	Schedule →
Memorial Miramar	$6,269	$4,388.30	$717.95	$5,328.65	Schedule →
Memorial Pembroke	$6,269	$4,388.30	$717.95	$5,328.65	Schedule →
Memorial West	$6,269	$4,388.30	$717.95	$5,328.65	Schedule →
Memorial Regional	$6,269	$4,388.30	$717.95	$5,328.65	Schedule →
Mount Sinai Miami Beach *	$2,515	$2,515 *	$129.72	$9,231	Schedule →
Nicklaus Children's	N/A	N/A	$3,969	$16,655	Schedule →

What These Prices Mean

Understanding the price columns
The gross charge is a hospital's full list price, also called the chargemaster rate. The cash price is what an uninsured, self-pay patient is quoted. The insured range spans the lowest to highest negotiated rates with insurers. At Memorial Regional, the gross charge for code 45378 is $5,131 and the cash price is $3,591.70, a 30% discount. Mount Sinai Miami Beach lists $2,515 for both gross and cash, so no discount applies, yet its cash price is lower than Memorial's despite the smaller discount. Patients on high-deductible plans who have not met their deductible owe the negotiated rate, not the gross charge.

Code variations
Code 45378 covers the examination alone. Code 45380 adds one or more biopsies, meaning tissue samples taken during the procedure. At Memorial hospitals, the cash price rises from $3,591.70 to $4,388.30, a difference of $796.60. At Holy Cross Fort Lauderdale, the cash price rises from $698 to $765, a difference of $67. At Cleveland Clinic Weston, it rises from $932.10 to $1,017.90, a difference of $85.80.

Why Colonoscopy Prices Vary

Hospital pricing structures
Gross charges for code 45378 range from $698 at Holy Cross Fort Lauderdale to $5,131 at the Memorial hospitals, a gap of $4,433. Cash prices for the same code range from $698 to $3,591.70, a gap of $2,893.70, so the spread narrows once discounts apply. Discount levels differ by hospital: Holy Cross and Mount Sinai Miami Beach list cash at 100% of gross, Cleveland Clinic Weston at 65%, Memorial at 70%, and Lakeside Medical Center at 35% for code 45378 and 50% for code 45380. All HCA Florida hospitals and Nicklaus Children's report $0 for gross and cash prices, which indicates incomplete data rather than free service.

Facility type and alternatives
Large hospital systems and academic medical centers often carry higher overhead and negotiate different rates than smaller community hospitals. Outpatient or freestanding facilities, which are not in this dataset, may charge differently. Among hospitals with reported data, cash prices span $698 to $4,388.30 across both codes.

Paying cash? Health insurance could lower your Colonoscopy cost.

Published cash prices on this page range from $698 to $4,388.30 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $55.82 (Cleveland Clinic Weston Hospital). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Colonoscopy in Miami-Fort Lauderdale-West Palm Beach

How much does each insurance company pay for colonoscopy at Miami-Fort Lauderdale-West Palm Beach hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Florida Blue	$55.82	Cleveland Clinic Weston Hospital	$16,655	15
UnitedHealthcare	$66.88	Lakeside Medical Center	$8,759	19
Aetna	$69.96	Holy Cross Hospital	$3,969	9
Cigna	$69.96	Holy Cross Hospital	$6,802	19
Humana	$69.96	Holy Cross Hospital	$3,124.08	8
WellCare	$69.96	Holy Cross Hospital	$2,137.75	8
AmeriHealth Caritas	$69.96	Holy Cross Hospital	$5,414	11
Molina Healthcare	$69.96	Holy Cross Hospital	$2,702	13

Rates shown are the lowest and highest negotiated rates each insurer has published across Miami-Fort Lauderdale-West Palm Beach hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Screening Colonoscopy (HCPCS 45378) at Holy Cross Fort Lauderdale, outpatient facility fee:

Screening Colonoscopy (45378), Holy Cross Fort Lauderdale Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
MEDICAID - MI	MEDICAID	$58.36
MEDICAID - MI	MEDICAID	$58.36
CMH OTTAWA COUNTY	MEDICAID	$69.96
CMH MUSKEGON COUNTY	MEDICAID	$69.96
CMH NEWAYGO COUNTY	MEDICAID	$69.96
CMH NORTHERN LAKES COUNTY	MEDICAID	$69.96
CMH MONTCALM COUNTY	MEDICAID	$69.96
CMH MISC	MEDICAID	$69.96
CMH MONROE COUNTY	MEDICAID	$69.96
CMH KENT COUNTY	MEDICAID	$69.96
CMH LENAWEE COUNTY	MEDICAID	$69.96
CMH LIVINGSTON COUNTY	MEDICAID	$69.96
CMH IONIA COUNTY	MEDICAID	$69.96
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$69.96
MCLAREN HEALTH MEDICAID	MEDICAID	$69.96
MDWISE	MEDICAID	$69.96
HAP MEDICAID	MEDICAID	$69.96
HARBOR HEALTH	MEDICAID	$69.96
WASHTENAW HEALTH PLAN	MEDICAID	$69.96
BMC HEALTHNET	MEDICAID	$69.96
AMERIGROUP MEDICAID	MEDICAID	$69.96
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$69.96
CMH GENESEE COUNTY	MEDICAID	$69.96
CMH CASS COUNTY	MEDICAID	$69.96
CMH CENTRAL MI COUNTY	MEDICAID	$69.96
CMH BARRY COUNTY	MEDICAID	$69.96
CMH BAY-ARENAC COUNTY	MEDICAID	$69.96
CMH BERRIEN COUNTY	MEDICAID	$69.96
CMH AUSABLE VALLEY	MEDICAID	$69.96
CMH ALLEGAN COUNTY	MEDICAID	$69.96
BCCCP-MICHIGAN	MEDICAID	$69.96
RX MEDI-CAL	MEDICAID	$69.96
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$69.96
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$69.96
CMH VAN BUREN COUNTY	MEDICAID	$69.96
CMH WASHTENAW COUNTY	MEDICAID	$69.96
CMH OAKLAND COUNTY	MEDICAID	$69.96
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$69.96
IDAHO WOMENS HEALTH CHECK	MEDICAID	$69.96
PARTNERS BEHAVIORAL LME	MEDICAID	$69.96
VAYA HEALTH LME	MEDICAID	$69.96
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$69.96
EASTPOINTE LME	MEDICAID	$69.96
CARDINAL INNOVATIONS LME	MEDICAID	$69.96
MOLINA CENTENNIAL CARE	MEDICAID	$69.96
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$69.96
ID COUNTY OTHER	MEDICAID	$69.96
ID COUNTY CAT FUND	MEDICAID	$69.96
ID COUNTY CANYON	MEDICAID	$69.96
ID COUNTY ADA	MEDICAID	$69.96
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$69.96
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$69.96
CARE OREGON OHP	MEDICAID	$69.96
BCCP	MEDICAID	$69.96
INDIANA BREAST CERVICAL CANCER	MEDICAID	$69.96
MEDI-CAL	MEDICAID	$69.96
FRESNO COUNTY CCS	MEDICAID	$69.96
HEALTH SAFETY NET	MEDICAID	$69.96
MEDI-CAL BLUE CROSS	MEDICAID	$69.96
MVP MEDICAID ADVANTAGE	MEDICAID	$69.96
VNSNY CHOICE MEDICAID	MEDICAID	$69.96
PRESTIGE HEALTH CHOICE	MEDICAID	$69.96
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$69.96
TENNCARE	MEDICAID	$69.96
SECURITY HEALTH MEDICAID	MEDICAID	$69.96
CARESOURCE MEDICAID	MEDICAID	$69.96
UNITY MEDICAID	MEDICAID	$69.96
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$69.96
NEBRASKA TOTAL CARE	MEDICAID	$69.96
MEDICAID - AZ	MEDICAID	$69.96
MEDICAID - AR	MEDICAID	$69.96
MEDICAID - AL	MEDICAID	$69.96
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$69.96
COUNTY CORONER	MEDICAID	$69.96
PARAMOUNT ADVANTAGE	MEDICAID	$69.96
CMH WEST MI COUNTY	MEDICAID	$69.96
MEDICAID PENDING	MEDICAID	$69.96
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$69.96
PRIORITY HEALTH MEDICAID	MEDICAID	$69.96
MERCYCARE MEDICAID	MEDICAID	$69.96
WI WOMENS WELLNESS	MEDICAID	$69.96
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$69.96
MEDICAID - AK	MEDICAID	$69.96
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS COMPLETE - MI	MEDICAID	$69.96
CARE WISCONSIN MEDICAID	MEDICAID	$69.96
NASCENTIA HEALTH OPTIONS	MEDICAID	$69.96
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$69.96
STEPHENSON CTY HEALTH	MEDICAID	$69.96
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$69.96
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$69.96
WELLPOINT MEDICAID	MEDICAID	$69.96
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
DEAN WI BADGERCARE	MEDICAID	$69.96
GHC SCW WI BADGERCARE	MEDICAID	$69.96
HUMANA MEDICAID	HUMANA MEDICAID	$69.96
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$69.96
CIGNA MEDICAID ADVANTAGE	MEDICAID	$69.96
CENTENE	MEDICAID	$69.96
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$69.96
UPMC MEDICAID ADVANTAGE	MEDICAID	$69.96
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$69.96
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$69.96
RYAN WHITE FLORIDA MSSRP	MEDICAID	$69.96
CMH MACOMB	MEDICAID	$69.96
CMH KALAMAZOO	MEDICAID	$69.96
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$69.96
KEYSTONE FIRST CHIP	MEDICAID	$69.96
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDICAID - NY SSL	MEDICAID	$69.96
DPH TB PROGRAM	MEDICAID	$69.96
MEDICAID MA QMB	MEDICAID	$69.96
OREGON SCREENWISE	MEDICAID	$69.96
SCREENING FOR LIFE	MEDICAID	$69.96
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$69.96
TRILLIUM COMMUNITY OHP	MEDICAID	$69.96
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$69.96
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$69.96
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$69.96
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$69.96
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$69.96
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$69.96
RX 340B PASS ALONG	MEDICAID	$69.96
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$69.96
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$69.96
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$69.96
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$69.96
MEDICAID OOS NHI	MEDICAID	$69.96
BREAST GRANT-CONNECTICUT	MEDICAID	$69.96
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
DSCC	MEDICAID	$69.96
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
COMMUNITY BENEFIT HEALTH	MEDICAID	$69.96
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$69.96
CARELON HEALTH MEDICAID	MEDICAID	$69.96
MEDICAID ADVANTAGE GENERIC	MEDICAID	$69.96
MEDICAID - IA	MEDICAID	$69.96
MEDICAID - KS	MEDICAID	$69.96
MEDICAID - IN	MEDICAID	$69.96
MEDICAID - HI	MEDICAID	$69.96
MEDICAID - FL	MEDICAID	$69.96
MEDICAID - GA	MEDICAID	$69.96
TOTAL HEALTH CARE MEDICAID	MEDICAID	$69.96
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$69.96
ROBERT F SING PROGRAM	MEDICAID	$69.96
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$69.96
MEDICAID - DE	MEDICAID	$69.96
MEDICAID - DC	MEDICAID	$69.96
MEDICAID - CO	MEDICAID	$69.96
MEDICAID - CT	MEDICAID	$69.96
KERN FAMILY HEALTH PLAN	MEDICAID	$69.96
LA CARE HEALTH PLAN	MEDICAID	$69.96
CENCAL HEALTH PLAN	MEDICAID	$69.96
INLAND EMPIRE HEALTH PLAN	MEDICAID	$69.96
MEDICAID - WI	MEDICAID	$69.96
MEDICAID - WY	MEDICAID	$69.96
MEDICAID - WA	MEDICAID	$69.96
MEDICAID - WV	MEDICAID	$69.96
MEDICAID - VT	MEDICAID	$69.96
MEDICAID - VA	MEDICAID	$69.96
MEDICAID - TN	MEDICAID	$69.96
MEDICAID - TX	MEDICAID	$69.96
CHHUNY	MEDICAID	$69.96
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$69.96
MARYLAND PHYSICIANS CARE	MEDICAID	$69.96
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$69.96
FREEDOM FIRST HEALTHCARE	MEDICAID	$69.96
DELTA DENTAL NJ	MEDICAID	$69.96
CITY OF PHILADELPHIA	MEDICAID	$69.96
COUNTY FUNDING GENERIC	MEDICAID	$69.96
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$69.96
PEACH STATE HEALTHPLAN	MEDICAID	$69.96
MEDICAID - UT	MEDICAID	$69.96
MEDICAID - SC	MEDICAID	$69.96
MEDICAID - SD	MEDICAID	$69.96
MEDICAID - PA	MEDICAID	$69.96
MEDICAID - RI	MEDICAID	$69.96
MEDICAID - OK	MEDICAID	$69.96
MEDICAID - ND	MEDICAID	$69.96
JAI MEDICAL SYSTEM	MEDICAID	$69.96
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$69.96
WELLSENSE HEALTH PLAN	MEDICAID	$69.96
INDEPENDENT CARE MEDICAID	MEDICAID	$69.96
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$69.96
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$69.96
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDI-CAL HEALTHNET	MEDICAID	$69.96
FAMILY HEALTH NETWORK	MEDICAID	$69.96
HEALTHY BLUE NE	MEDICAID	$69.96
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$69.96
MO HOME STATE HEALTH PLAN	MEDICAID	$69.96
BLUE PLUS MO MEDICAID	MEDICAID	$69.96
IOWA TOTAL CARE	MEDICAID	$69.96
MEDICAID - OH	MEDICAID	$69.96
MEDICAID - NY	MEDICAID	$69.96
MEDICAID - NC	MEDICAID	$69.96
MEDICAID - NH	MEDICAID	$69.96
MEDICAID - NJ	MEDICAID	$69.96
SUPERIOR HEALTH	MEDICAID	$69.96
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$69.96
COUNTY CARE MEDICAID	MEDICAID	$69.96
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$69.96
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
RX MERIDIAN RX	MEDICAID	$69.96
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$69.96
MEDSTAR MD HEALTH CHOICE	MEDICAID	$69.96
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
INTERCOMMUNITY HEALTH OHP	MEDICAID	$69.96
PHILADELPHIA COUNTY FUNDING	MEDICAID	$69.96
RX MEDICAID	MEDICAID	$69.96
HURON VALLEY PACE MEDICAID	MEDICAID	$69.96
MEDICAID - NM	MEDICAID	$69.96
MEDICAID - NV	MEDICAID	$69.96
MEDICAID - MO	MEDICAID	$69.96
MEDICAID - MT	MEDICAID	$69.96
MEDICAID - MN	MEDICAID	$69.96
AETNA MEDICAID	MEDICAID	$69.96
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$69.96
TRILOGY MEDICAID	MEDICAID	$69.96
HENNEPIN HEALTH	MEDICAID	$69.96
UNITED HEALTHCARE MEDICAID	MEDICAID	$69.96
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$69.96
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$69.96
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$69.96
KEYSTONE FIRST	MEDICAID	$69.96
AMISH MENNONITE	MEDICAID	$69.96
DELAWARE FIRST HEALTH	MEDICAID	$69.96
CMH WAYNE COUNTY/CARELINK	MEDICAID	$69.96
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$69.96
EMBLEM HEALTH MEDICAID	MEDICAID	$69.96
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$69.96
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$69.96
FIRSTCARE MEDICAID	MEDICAID	$69.96
PRIORITY PARTNERS	MEDICAID	$69.96
MEDICAID - MS	MEDICAID	$69.96
MEDICAID - MA	MEDICAID	$69.96
MEDICAID - ME	MEDICAID	$69.96
MEDICAID - MD	MEDICAID	$69.96
MEDICAID - LA	MEDICAID	$69.96
ICARE MEDICAID	MEDICAID	$69.96
LAKELAND CARE INC	MEDICAID	$69.96
DEAN HEALTH MEDICAID	MEDICAID	$69.96
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$69.96
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
COMMUNITY CARE MEDICAID	MEDICAID	$69.96
CENPATICO	MEDICAID	$69.96
CHILDRENS COMM HEALTH PLAN	MEDICAID	$69.96
MEDICAID SPENDDOWN	MEDICAID	$69.96
CMH NORTH COUNTRY	MEDICAID	$69.96
ID COUNTY PAYETTE	MEDICAID	$69.96
NEXTLEVEL HEALTH	MEDICAID	$69.96
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$69.96
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$69.96
MEDICAID - KY	MEDICAID	$69.96
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$69.96
MERIDIAN MEDICAID	MEDICAID	$69.96
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$69.96
SANDHILLS CENTER LME	MEDICAID	$69.96
COMMUNITY HEALTH CHOICE	MEDICAID	$69.96
UCARE MEDICAID	MEDICAID	$69.96
CONNECTIONS CSP	MEDICAID	$69.96
COMMUNITY CARE PARTNERS	MEDICAID	$69.96
INTERCOMMUNITY HEALTH OHP	MEDICAID	$69.96
MEDI-CAL HEALTHNET	MEDICAID	$69.96
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$69.96
DSCC	MEDICAID	$69.96
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$69.96
HUMANA MEDICAID	HUMANA MEDICAID	$69.96
CIGNA MEDICAID ADVANTAGE	MEDICAID	$69.96
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$69.96
CARESOURCE MEDICAID	MEDICAID	$69.96
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$69.96
TENNCARE	MEDICAID	$69.96
PRESTIGE HEALTH CHOICE	MEDICAID	$69.96
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$69.96
MOLINA CENTENNIAL CARE	MEDICAID	$69.96
DEAN WI BADGERCARE	MEDICAID	$69.96
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$69.96
CARE WISCONSIN MEDICAID	MEDICAID	$69.96
GHC SCW WI BADGERCARE	MEDICAID	$69.96
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
WELLPOINT MEDICAID	MEDICAID	$69.96
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$69.96
WI WOMENS WELLNESS	MEDICAID	$69.96
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$69.96
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$69.96
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$69.96
TRILLIUM COMMUNITY OHP	MEDICAID	$69.96
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$69.96
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$69.96
UPMC MEDICAID ADVANTAGE	MEDICAID	$69.96
EASTPOINTE LME	MEDICAID	$69.96
PARTNERS BEHAVIORAL LME	MEDICAID	$69.96
CARDINAL INNOVATIONS LME	MEDICAID	$69.96
SANDHILLS CENTER LME	MEDICAID	$69.96
VAYA HEALTH LME	MEDICAID	$69.96
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$69.96
COMMUNITY HEALTH CHOICE	MEDICAID	$69.96
FIRSTCARE MEDICAID	MEDICAID	$69.96
CENTENE	MEDICAID	$69.96
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$69.96
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$69.96
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$69.96
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$69.96
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDICAID - AL	MEDICAID	$69.96
MEDICAID - PA	MEDICAID	$69.96
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$69.96
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$69.96
PRIORITY PARTNERS	MEDICAID	$69.96
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$69.96
EMBLEM HEALTH MEDICAID	MEDICAID	$69.96
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$69.96
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$69.96
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$69.96
SUPERIOR HEALTH	MEDICAID	$69.96
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$69.96
KEYSTONE FIRST	MEDICAID	$69.96
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$69.96
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$69.96
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$69.96
CARE OREGON OHP	MEDICAID	$69.96
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$69.96
BCCP	MEDICAID	$69.96
MEDICAID PENDING	MEDICAID	$69.96
COUNTY CORONER	MEDICAID	$69.96
MERCYCARE MEDICAID	MEDICAID	$69.96
NEBRASKA TOTAL CARE	MEDICAID	$69.96
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$69.96
UNITY MEDICAID	MEDICAID	$69.96
SECURITY HEALTH MEDICAID	MEDICAID	$69.96
NASCENTIA HEALTH OPTIONS	MEDICAID	$69.96
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$69.96
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$69.96
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$69.96
AMISH MENNONITE	MEDICAID	$69.96
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$69.96
UCARE MEDICAID	MEDICAID	$69.96
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$69.96
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$69.96
INDEPENDENT CARE MEDICAID	MEDICAID	$69.96
WELLSENSE HEALTH PLAN	MEDICAID	$69.96
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$69.96
MEDSTAR MD HEALTH CHOICE	MEDICAID	$69.96
DELAWARE FIRST HEALTH	MEDICAID	$69.96
PARAMOUNT ADVANTAGE	MEDICAID	$69.96
CMH WEST MI COUNTY	MEDICAID	$69.96
MERIDIAN MEDICAID	MEDICAID	$69.96
NEXTLEVEL HEALTH	MEDICAID	$69.96
HEALTHY BLUE NE	MEDICAID	$69.96
FAMILY HEALTH NETWORK	MEDICAID	$69.96
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$69.96
MO HOME STATE HEALTH PLAN	MEDICAID	$69.96
IOWA TOTAL CARE	MEDICAID	$69.96
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$69.96
FREEDOM FIRST HEALTHCARE	MEDICAID	$69.96
JAI MEDICAL SYSTEM	MEDICAID	$69.96
DELTA DENTAL NJ	MEDICAID	$69.96
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$69.96
MARYLAND PHYSICIANS CARE	MEDICAID	$69.96
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$69.96
CHHUNY	MEDICAID	$69.96
MEDICAID ADVANTAGE GENERIC	MEDICAID	$69.96
MEDICAID - KY	MEDICAID	$69.96
MEDICAID - LA	MEDICAID	$69.96
MEDICAID - MD	MEDICAID	$69.96
MEDICAID - ME	MEDICAID	$69.96
MEDICAID - MA	MEDICAID	$69.96
MEDICAID - MN	MEDICAID	$69.96
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE PLUS MO MEDICAID	MEDICAID	$69.96
RX MEDICAID	MEDICAID	$69.96
INLAND EMPIRE HEALTH PLAN	MEDICAID	$69.96
LA CARE HEALTH PLAN	MEDICAID	$69.96
KERN FAMILY HEALTH PLAN	MEDICAID	$69.96
ID COUNTY ADA	MEDICAID	$69.96
ID COUNTY OTHER	MEDICAID	$69.96
CARELON HEALTH MEDICAID	MEDICAID	$69.96
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDICAID - NY SSL	MEDICAID	$69.96
KEYSTONE FIRST CHIP	MEDICAID	$69.96
MEDICAID MA QMB	MEDICAID	$69.96
MEDICAID - SC	MEDICAID	$69.96
MEDICAID - RI	MEDICAID	$69.96
MEDICAID - TN	MEDICAID	$69.96
MEDICAID - SD	MEDICAID	$69.96
MEDICAID - UT	MEDICAID	$69.96
MEDICAID - TX	MEDICAID	$69.96
MEDICAID - VA	MEDICAID	$69.96
MEDICAID - VT	MEDICAID	$69.96
MEDICAID - MO	MEDICAID	$69.96
MEDICAID - MS	MEDICAID	$69.96
MEDICAID - MT	MEDICAID	$69.96
MEDICAID - NH	MEDICAID	$69.96
MEDICAID - NV	MEDICAID	$69.96
MEDICAID - NM	MEDICAID	$69.96
MEDICAID - NJ	MEDICAID	$69.96
ID COUNTY CANYON	MEDICAID	$69.96
ID COUNTY CAT FUND	MEDICAID	$69.96
ID COUNTY PAYETTE	MEDICAID	$69.96
MEDICAID SPENDDOWN	MEDICAID	$69.96
CMH NORTH COUNTRY	MEDICAID	$69.96
MEDICAID - WA	MEDICAID	$69.96
MEDICAID - WI	MEDICAID	$69.96
MEDICAID - WV	MEDICAID	$69.96
MEDICAID OOS NHI	MEDICAID	$69.96
MEDICAID - WY	MEDICAID	$69.96
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$69.96
BREAST GRANT-CONNECTICUT	MEDICAID	$69.96
OREGON SCREENWISE	MEDICAID	$69.96
MEDICAID - NC	MEDICAID	$69.96
MEDICAID - NY	MEDICAID	$69.96
MEDICAID - ND	MEDICAID	$69.96
MEDICAID - OK	MEDICAID	$69.96
MEDICAID - OH	MEDICAID	$69.96
CITY OF PHILADELPHIA	MEDICAID	$69.96
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$69.96
CENCAL HEALTH PLAN	MEDICAID	$69.96
COUNTY FUNDING GENERIC	MEDICAID	$69.96
TOTAL HEALTH CARE MEDICAID	MEDICAID	$69.96
MEDICAID - AZ	MEDICAID	$69.96
MEDICAID - AK	MEDICAID	$69.96
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$69.96
SCREENING FOR LIFE	MEDICAID	$69.96
DPH TB PROGRAM	MEDICAID	$69.96
MEDICAID - CO	MEDICAID	$69.96
MEDICAID - AR	MEDICAID	$69.96
MEDICAID - DE	MEDICAID	$69.96
MEDICAID - CT	MEDICAID	$69.96
CENPATICO	MEDICAID	$69.96
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$69.96
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$69.96
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDICAID - FL	MEDICAID	$69.96
MEDICAID - DC	MEDICAID	$69.96
MEDICAID - HI	MEDICAID	$69.96
MEDICAID - GA	MEDICAID	$69.96
MEDICAID - IN	MEDICAID	$69.96
MEDICAID - KS	MEDICAID	$69.96
CHILDRENS COMM HEALTH PLAN	MEDICAID	$69.96
DEAN HEALTH MEDICAID	MEDICAID	$69.96
COMMUNITY CARE MEDICAID	MEDICAID	$69.96
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$69.96
LAKELAND CARE INC	MEDICAID	$69.96
ICARE MEDICAID	MEDICAID	$69.96
UNITED HEALTHCARE MEDICAID	MEDICAID	$69.96
HENNEPIN HEALTH	MEDICAID	$69.96
PHILADELPHIA COUNTY FUNDING	MEDICAID	$69.96
PEACH STATE HEALTHPLAN	MEDICAID	$69.96
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$69.96
MEDICAID - IA	MEDICAID	$69.96
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$69.96
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$69.96
RX MERIDIAN RX	MEDICAID	$69.96
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
RX 340B PASS ALONG	MEDICAID	$69.96
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$69.96
COMMUNITY BENEFIT HEALTH	MEDICAID	$69.96
TRILOGY MEDICAID	MEDICAID	$69.96
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$69.96
AETNA MEDICAID	MEDICAID	$69.96
COUNTY CARE MEDICAID	MEDICAID	$69.96
HURON VALLEY PACE MEDICAID	MEDICAID	$69.96
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$69.96
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$69.96
CMH MONTCALM COUNTY	MEDICAID	$69.96
CMH NEWAYGO COUNTY	MEDICAID	$69.96
CMH OAKLAND COUNTY	MEDICAID	$69.96
CMH NORTHERN LAKES COUNTY	MEDICAID	$69.96
CMH VAN BUREN COUNTY	MEDICAID	$69.96
CMH OTTAWA COUNTY	MEDICAID	$69.96
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$69.96
WASHTENAW HEALTH PLAN	MEDICAID	$69.96
HARBOR HEALTH	MEDICAID	$69.96
MDWISE	MEDICAID	$69.96
MCLAREN HEALTH MEDICAID	MEDICAID	$69.96
HAP MEDICAID	MEDICAID	$69.96
BCCCP-MICHIGAN	MEDICAID	$69.96
CMH ALLEGAN COUNTY	MEDICAID	$69.96
CMH BARRY COUNTY	MEDICAID	$69.96
AMERIGROUP MEDICAID	MEDICAID	$69.96
BMC HEALTHNET	MEDICAID	$69.96
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$69.96
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$69.96
COMMUNITY CARE PARTNERS	MEDICAID	$69.96
CONNECTIONS CSP	MEDICAID	$69.96
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$69.96
RYAN WHITE FLORIDA MSSRP	MEDICAID	$69.96
STEPHENSON CTY HEALTH	MEDICAID	$69.96
CMH WASHTENAW COUNTY	MEDICAID	$69.96
BLUE CROSS COMPLETE - MI	MEDICAID	$69.96
PRIORITY HEALTH MEDICAID	MEDICAID	$69.96
VNSNY CHOICE MEDICAID	MEDICAID	$69.96
MVP MEDICAID ADVANTAGE	MEDICAID	$69.96
MEDI-CAL BLUE CROSS	MEDICAID	$69.96
CMH WAYNE COUNTY/CARELINK	MEDICAID	$69.96
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$69.96
RX MEDI-CAL	MEDICAID	$69.96
FRESNO COUNTY CCS	MEDICAID	$69.96
MEDI-CAL	MEDICAID	$69.96
HEALTH SAFETY NET	MEDICAID	$69.96
INDIANA BREAST CERVICAL CANCER	MEDICAID	$69.96
IDAHO WOMENS HEALTH CHECK	MEDICAID	$69.96
ROBERT F SING PROGRAM	MEDICAID	$69.96
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$69.96
CMH AUSABLE VALLEY	MEDICAID	$69.96
CMH BERRIEN COUNTY	MEDICAID	$69.96
CMH BAY-ARENAC COUNTY	MEDICAID	$69.96
CMH CENTRAL MI COUNTY	MEDICAID	$69.96
CMH CASS COUNTY	MEDICAID	$69.96
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$69.96
CMH IONIA COUNTY	MEDICAID	$69.96
CMH GENESEE COUNTY	MEDICAID	$69.96
CMH MACOMB	MEDICAID	$69.96
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$69.96
CMH KENT COUNTY	MEDICAID	$69.96
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$69.96
CMH LIVINGSTON COUNTY	MEDICAID	$69.96
CMH LENAWEE COUNTY	MEDICAID	$69.96
CMH MONROE COUNTY	MEDICAID	$69.96
CMH MISC	MEDICAID	$69.96
CMH MUSKEGON COUNTY	MEDICAID	$69.96
CMH KALAMAZOO	MEDICAID	$69.96
MEDICAID - OR	MEDICAID	$71.29
MEDICAID - OR	MEDICAID	$71.29
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$72.06
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$72.06
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$73.46
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$73.46
MOLINA MEDICAID	MOLINA MEDICAID	$76.96
MOLINA MEDICAID	MOLINA MEDICAID	$76.96
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$77.76
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$80.22
CLOVER HEALTH	MEDICARE	$86.39
HORIZON NJ TOTAL CARE	MEDICARE	$86.39
AMERIHEALTH MEDICARE	MEDICARE	$86.39
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$86.39
ANTHEM MYCARE OHIO	MEDICARE	$86.39
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$86.39
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$86.39
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$86.39
TODAYS OPTIONS	MEDICARE	$86.39
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
UPMC MEDICARE ADVANTAGE	MEDICARE	$86.39
TUFTS MEDICARE ADVANTAGE	MEDICARE	$86.39
GPA CROELL REDI MIX	MEDICARE	$86.39
FIDELIS MEDICARE	MEDICARE	$86.39
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
WELBE HEALTH	MEDICARE	$86.39
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$86.39
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$86.39
CARE DIMENSIONS	MEDICARE	$86.39
MI HEALTHLINK MEDICARE	MEDICARE	$86.39
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$86.39
ELEMENTCARE	MEDICARE	$86.39
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$86.39
MEDIPAK ADVANTAGE	MEDICARE	$86.39
SECURE HORIZONS MA PFFS	MEDICARE	$86.39
HARVARD PILGRIM MEDICARE	MEDICARE	$86.39
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$86.39
PRESBYTERIAN SENIOR PLAN	MEDICARE	$86.39
CCA SENIOR CARE OPTIONS	MEDICARE	$86.39
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
MVP MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$86.39
VNSNY CHOICE MEDICARE	MEDICARE	$86.39
PROMINENCE MEDICARE	MEDICARE	$86.39
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$86.39
PERENNIAL ADVANTAGE	MEDICARE	$86.39
AMERICAN HEALTH PLAN	MEDICARE	$86.39
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$86.39
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$86.39
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICAL MUTUAL MEDICARE	MEDICARE	$86.39
CARESOURCE MEDICARE	MEDICARE	$86.39
CARE WISCONSIN MEDICARE	MEDICARE	$86.39
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$86.39
TEXAN PLUS	MEDICARE	$86.39
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
ESSENCE MEDICARE HMO	MEDICARE	$86.39
THOME PACE	MEDICARE	$86.39
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$86.39
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$86.39
HAP MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$86.39
THE HEALTH PLAN	MEDICARE	$86.39
OSU PRIME CARE ADVANTAGE	MEDICARE	$86.39
OPTUM MEDICARE TRANSPLANT	MEDICARE	$86.39
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$86.39
ALLY ALIGN CARE ADV	MEDICARE	$86.39
HUMANA MEDICARE TRANSPLANT	MEDICARE	$86.39
MICHIGAN COMPLETE HEALTH	MEDICARE	$86.39
GEORGIA HEALTH ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$86.39
EVERCARE	MEDICARE	$86.39
RX ALLWIN	MEDICARE	$86.39
RX ALLWIN	MEDICARE	$86.39
RX MEDICARE PART B	MEDICARE	$86.39
FRESNO PACE MEDICARE	MEDICARE	$86.39
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$86.39
PHP MEDICARE	MEDICARE	$86.39
SIOUXLAND PACE	MEDICARE	$86.39
PEAK PACE SOLUTIONS	MEDICARE	$86.39
MERIDIAN COMPLETE	MEDICARE	$86.39
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
AETNA MEDICARE TRANSPLANT	MEDICARE	$86.39
TRIBUTE HEALTH PLANS	MEDICARE	$86.39
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$86.39
GOLD ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICARE ADVANTAGE GENERIC	MEDICARE	$86.39
LONGEVITY HEALTH PLAN	MEDICARE	$86.39
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$86.39
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$86.39
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$86.39
MERCY LIFE	MEDICARE	$86.39
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$86.39
SERENITY PACE	MEDICARE	$86.39
PACE CNY	MEDICARE	$86.39
PACE-TRINITY HEALTH	MEDICARE	$86.39
HURON VALLEY PACE	MEDICARE	$86.39
HEALTH AMERICA ADVANTRA	MEDICARE	$86.39
UCARE MEDICARE	MEDICARE	$86.39
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$86.39
SECURITY HEALTH MEDICARE	MEDICARE	$86.39
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$86.39
OSCAR MEDICARE ADVANTAGE	MEDICARE	$86.39
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$86.39
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$86.39
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$86.39
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$86.39
NETWORK MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
EVERENCE	MEDICARE	$86.39
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$86.39
IOWA HEALTH ADVANTAGE	MEDICARE	$86.39
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$86.39
HUDSON HEADWATERS PACE	MEDICARE	$86.39
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$86.39
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$86.39
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$86.39
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$86.39
LASSO HEALTHCARE MSA	MEDICARE	$86.39
PACE SOUTHEAST	MEDICARE	$86.39
MOLINA MEDICARE ADVANTAGE	MEDICARE	$86.39
CLEAR SPRING HEALTH	MEDICARE	$86.39
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$86.39
EDDY SENIOR CARE-PACE	MEDICARE	$86.39
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$86.39
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$86.39
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$86.39
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$86.39
UNIVERSAL MEDICARE	MEDICARE	$86.39
NASCENTIA HEALTH PLUS	MEDICARE	$86.39
COMMONWEALTH CARE ALLIANCE	MEDICARE	$86.39
COMMUNITY PACE AT HOME	MEDICARE	$86.39
LIFECIRCLES PACE	MEDICARE	$86.39
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$86.39
CCA - ZING HEALTH	MEDICARE	$86.39
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$86.39
UNION HEALTH SERVICE	MEDICARE	$86.39
MERCYONE CEDAR VALLEY	MEDICARE	$86.39
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$86.39
CONNECTICARE VIP MEDICARE	MEDICARE	$86.39
ICARE MEDICARE ADVANTAGE	MEDICARE	$86.39
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$86.39
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$86.39
DEAN HEALTH MEDICARE SELECT	MEDICARE	$86.39
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$86.39
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$86.39
RX MEDICARE	MEDICARE	$86.39
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$86.39
MEDICARE ALTERNATE PAYOR	MEDICARE	$86.39
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$86.39
RX GRANE GRNMEDD	MEDICARE	$86.39
RX CARELONRX MEDICARE	MEDICARE	$86.39
RX RETIREE RX CARE	MEDICARE	$86.39
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$86.39
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$86.39
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$86.39
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$86.39
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$86.39
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$86.39
CARE RESOURCES PACE	MEDICARE	$86.39
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICA MEDICARE ADVANTAGE	MEDICARE	$86.39
PRUITTHEALTH PREMIER	MEDICARE	$86.39
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
GATEWAY HEALTH PLAN	MEDICARE	$86.39
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$86.39
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$86.39
EDDY SENIORCARE PACE	MEDICARE	$86.39
UNICARE MEDICARE ADVANTAGE	MEDICARE	$86.39
LIFE ST MARYS PACE	MEDICARE	$86.39
ALIGN SENIOR CARE	MEDICARE	$86.39
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$86.39
UM HEALTH ADVANTAGE	MEDICARE	$86.39
AURORA SPECIAL NEEDS	MEDICARE	$86.39
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$86.39
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICARE PUERTO RICO	MEDICARE	$86.39
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$86.39
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$86.39
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICARE	MEDICARE	$86.39
CARE IMPROVEMENT PLUS	MEDICARE	$86.39
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$86.39
WELLMED	MEDICARE	$86.39
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$86.39
MOLINA MEDICARE ADVANTAGE	MEDICARE	$86.39
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$86.39
HOPE SELECT PACE	MEDICARE	$86.39
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$86.39
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$86.39
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$86.39
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$86.39
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$86.39
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$86.39
EDDY SENIOR CARE-PACE	MEDICARE	$86.39
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$86.39
EVERCARE	MEDICARE	$86.39
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$86.39
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$86.39
MEDICARE PUERTO RICO	MEDICARE	$86.39
CONNECTICARE VIP MEDICARE	MEDICARE	$86.39
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICARE ADVANTAGE GENERIC	MEDICARE	$86.39
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$86.39
MERCYONE CEDAR VALLEY	MEDICARE	$86.39
UNION HEALTH SERVICE	MEDICARE	$86.39
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$86.39
CCA - ZING HEALTH	MEDICARE	$86.39
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$86.39
LIFECIRCLES PACE	MEDICARE	$86.39
PACE SOUTHEAST	MEDICARE	$86.39
LASSO HEALTHCARE MSA	MEDICARE	$86.39
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$86.39
LIFE ST MARYS PACE	MEDICARE	$86.39
AURORA SPECIAL NEEDS	MEDICARE	$86.39
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$86.39
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$86.39
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$86.39
UCARE MEDICARE	MEDICARE	$86.39
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$86.39
OSCAR MEDICARE ADVANTAGE	MEDICARE	$86.39
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$86.39
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$86.39
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$86.39
FIDELIS MEDICARE	MEDICARE	$86.39
GPA CROELL REDI MIX	MEDICARE	$86.39
WELLMED	MEDICARE	$86.39
SECURE HORIZONS MA PFFS	MEDICARE	$86.39
HARVARD PILGRIM MEDICARE	MEDICARE	$86.39
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$86.39
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$86.39
PRESBYTERIAN SENIOR PLAN	MEDICARE	$86.39
HOPE SELECT PACE	MEDICARE	$86.39
MVP MEDICARE ADVANTAGE	MEDICARE	$86.39
SECURITY HEALTH MEDICARE	MEDICARE	$86.39
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$86.39
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$86.39
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$86.39
CCA SENIOR CARE OPTIONS	MEDICARE	$86.39
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
TEXAN PLUS	MEDICARE	$86.39
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
NETWORK MEDICARE ADVANTAGE	MEDICARE	$86.39
MOLINA MEDICARE ADVANTAGE	MEDICARE	$86.39
CLEAR SPRING HEALTH	MEDICARE	$86.39
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$86.39
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
MICHIGAN COMPLETE HEALTH	MEDICARE	$86.39
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$86.39
GEORGIA HEALTH ADVANTAGE	MEDICARE	$86.39
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$86.39
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$86.39
TUFTS MEDICARE ADVANTAGE	MEDICARE	$86.39
UPMC MEDICARE ADVANTAGE	MEDICARE	$86.39
ICARE MEDICARE ADVANTAGE	MEDICARE	$86.39
ELEMENTCARE	MEDICARE	$86.39
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$86.39
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICA MEDICARE ADVANTAGE	MEDICARE	$86.39
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$86.39
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$86.39
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$86.39
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
TODAYS OPTIONS	MEDICARE	$86.39
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$86.39
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$86.39
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
COMMONWEALTH CARE ALLIANCE	MEDICARE	$86.39
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$86.39
GOLD ADVANTAGE	MEDICARE	$86.39
EDDY SENIORCARE PACE	MEDICARE	$86.39
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDIPAK ADVANTAGE	MEDICARE	$86.39
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$86.39
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
MEDICAL MUTUAL MEDICARE	MEDICARE	$86.39
MEDICARE	MEDICARE	$86.39
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$86.39
RX RETIREE RX CARE	MEDICARE	$86.39
RX CARELONRX MEDICARE	MEDICARE	$86.39
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$86.39
ALIGN SENIOR CARE	MEDICARE	$86.39
UNICARE MEDICARE ADVANTAGE	MEDICARE	$86.39
CARE RESOURCES PACE	MEDICARE	$86.39
UM HEALTH ADVANTAGE	MEDICARE	$86.39
CARE IMPROVEMENT PLUS	MEDICARE	$86.39
CARESOURCE MEDICARE	MEDICARE	$86.39
CARE WISCONSIN MEDICARE	MEDICARE	$86.39
HAP MEDICARE ADVANTAGE	MEDICARE	$86.39
OSU PRIME CARE ADVANTAGE	MEDICARE	$86.39
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$86.39
THE HEALTH PLAN	MEDICARE	$86.39
RX MEDICARE	MEDICARE	$86.39
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$86.39
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
RX GRANE GRNMEDD	MEDICARE	$86.39
PEAK PACE SOLUTIONS	MEDICARE	$86.39
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$86.39
WELBE HEALTH	MEDICARE	$86.39
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
GATEWAY HEALTH PLAN	MEDICARE	$86.39
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$86.39
PRUITTHEALTH PREMIER	MEDICARE	$86.39
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$86.39
COMMUNITY PACE AT HOME	MEDICARE	$86.39
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$86.39
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$86.39
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
ESSENCE MEDICARE HMO	MEDICARE	$86.39
THOME PACE	MEDICARE	$86.39
OPTUM MEDICARE TRANSPLANT	MEDICARE	$86.39
MERIDIAN COMPLETE	MEDICARE	$86.39
HEALTH AMERICA ADVANTRA	MEDICARE	$86.39
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$86.39
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$86.39
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$86.39
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$86.39
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$86.39
HUMANA MEDICARE TRANSPLANT	MEDICARE	$86.39
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$86.39
AETNA MEDICARE TRANSPLANT	MEDICARE	$86.39
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$86.39
TRIBUTE HEALTH PLANS	MEDICARE	$86.39
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$86.39
PACE CNY	MEDICARE	$86.39
HURON VALLEY PACE	MEDICARE	$86.39
SERENITY PACE	MEDICARE	$86.39
HUDSON HEADWATERS PACE	MEDICARE	$86.39
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$86.39
IOWA HEALTH ADVANTAGE	MEDICARE	$86.39
AMERICAN HEALTH PLAN	MEDICARE	$86.39
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$86.39
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$86.39
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$86.39
PERENNIAL ADVANTAGE	MEDICARE	$86.39
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$86.39
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$86.39
MI HEALTHLINK MEDICARE	MEDICARE	$86.39
MOLINA MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$86.39
CARE DIMENSIONS	MEDICARE	$86.39
EVERENCE	MEDICARE	$86.39
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$86.39
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$86.39
PROMINENCE MEDICARE	MEDICARE	$86.39
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$86.39
ANTHEM MYCARE OHIO	MEDICARE	$86.39
PACE-TRINITY HEALTH	MEDICARE	$86.39
SIOUXLAND PACE	MEDICARE	$86.39
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$86.39
MERCY LIFE	MEDICARE	$86.39
PHP MEDICARE	MEDICARE	$86.39
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$86.39
NASCENTIA HEALTH PLUS	MEDICARE	$86.39
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$86.39
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$86.39
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$86.39
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$86.39
DEAN HEALTH MEDICARE SELECT	MEDICARE	$86.39
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$86.39
FRESNO PACE MEDICARE	MEDICARE	$86.39
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$86.39
ALLY ALIGN CARE ADV	MEDICARE	$86.39
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$86.39
MEDICARE ALTERNATE PAYOR	MEDICARE	$86.39
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$86.39
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$86.39
UNIVERSAL MEDICARE	MEDICARE	$86.39
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$86.39
AMERIHEALTH MEDICARE	MEDICARE	$86.39
HORIZON NJ TOTAL CARE	MEDICARE	$86.39
CLOVER HEALTH	MEDICARE	$86.39
RX ALLWIN	MEDICARE	$86.39
RX MEDICARE PART B	MEDICARE	$86.39
RX ALLWIN	MEDICARE	$86.39
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$86.39
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$86.39
VNSNY CHOICE MEDICARE	MEDICARE	$86.39
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$86.39
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$86.39
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$86.39
LONGEVITY HEALTH PLAN	MEDICARE	$86.39
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$86.39
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$88.16
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$88.16
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$88.16
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$88.16
MEDICAID - IL	MEDICAID	$89.30
MEDICAID - IL	MEDICAID	$89.30
MEDICAID - NE	MEDICAID	$89.44
MEDICAID - NE	MEDICAID	$89.44
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$89.92
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$89.92
TRIWEST HEALTH ALLIANCE	TRICARE	$90.17
TRICARE	TRICARE	$90.17
CHAMPVA	TRICARE	$90.17
TRICARE WEST HEALTHNET	TRICARE	$90.17
TRICARE EAST HUMANA	TRICARE	$90.17
VETERANS EVAL SERVICES	TRICARE	$90.17
US FAMILY HEALTH PLAN	TRICARE	$90.17
TRICARE WEST HEALTHNET	TRICARE	$90.17
TRICARE EAST HUMANA	TRICARE	$90.17
CHAMPVA	TRICARE	$90.17
TRICARE	TRICARE	$90.17
US FAMILY HEALTH PLAN	TRICARE	$90.17
VETERANS EVAL SERVICES	TRICARE	$90.17
TRIWEST HEALTH ALLIANCE	TRICARE	$90.17
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$90.71
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$90.71
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$90.71
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$90.71
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$90.71
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$90.71
MEDICAID - ID	MEDICAID	$91.03
MEDICAID - ID	MEDICAID	$91.03
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$92.57
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$92.57
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$99.62
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$105.79
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$105.79
HUMANA	HUMANA	$110.90
HUMANA	HUMANA	$110.90
OSCAR	OSCAR	$114.60
OSCAR	OSCAR	$114.60
UNITED HEALTHCARE	UNITED HEALTHCARE	$122.59
UNITED HEALTHCARE	UHC OPTIONS PPO	$122.59
GEHA	UNITED HEALTHCARE	$122.59
GEHA	UNITED HEALTHCARE	$122.59
UNITED HEALTHCARE	UNITED HEALTHCARE	$122.59
UNITED HEALTHCARE	UHC OPTIONS PPO	$122.59
CENTIVO	CENTIVO	$123.42
CURATIVE	CURATIVE FL	$123.42
CENTIVO	CENTIVO	$123.42
CURATIVE	CURATIVE FL	$123.42
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$132.03
MULTIPLAN	MULTIPLAN	$132.24
PHCS	PHCS	$132.24
PHCS	PHCS	$132.24
MULTIPLAN	MULTIPLAN	$132.24
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$134.43
AVMED HEALTH PLAN	AVMED SELECT	$144.02
AVMED HEALTH PLAN	AVMED MARKETPLACE	$144.02
FIRST HEALTH	AETNA	$146.15
COVENTRY	AETNA	$146.15
AETNA DOMESTIC	AETNA	$146.15
MERITAIN	AETNA	$146.15
AETNA	AETNA	$146.15
AETNA	AETNA GLOBAL	$146.15
COVENTRY	AETNA	$146.15
AETNA DOMESTIC	AETNA	$146.15
AETNA	AETNA	$146.15
AETNA	AETNA GLOBAL	$146.15
MERITAIN	AETNA	$146.15
FIRST HEALTH	AETNA	$146.15
AVMED HEALTH PLAN	AVMED SELECT	$146.46
AVMED HEALTH PLAN	AVMED MARKETPLACE	$146.46
AVMED HEALTH PLAN	AVMED	$148.90
BLUE CROSS - FL	BCBS NETWORK BLUE	$150.03
AVMED HEALTH PLAN	AVMED	$151.34
BLUE CROSS - FL	BCBS NETWORK BLUE	$153.63
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$160.84
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$160.84
BCN DOMESTIC	BCBS PPO TRAD	$160.84
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$160.84
HEALTH CHOICES	BCBS PPO TRAD	$160.84
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$160.84
BLUE CROSS - MT	BCBS PPO TRAD	$160.84
BLUE CROSS - MS	BCBS PPO TRAD	$160.84
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - NM	BCBS PPO TRAD	$160.84
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$160.84
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$160.84
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$160.84
BLUE CROSS - NC	BCBS PPO TRAD	$160.84
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$160.84
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$160.84
BLUE CROSS - OK	BCBS PPO TRAD	$160.84
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$160.84
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$160.84
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$160.84
BLUE CROSS - SC	BCBS PPO TRAD	$160.84
KAISER DOMESTIC	BCBS PPO TRAD	$160.84
BLUE CROSS - RI	BCBS PPO TRAD	$160.84
BLUE CROSS - TX	BCBS PPO TRAD	$160.84
BLUE CROSS - TN	BCBS PPO TRAD	$160.84
BLUE CROSS - VT	BCBS PPO TRAD	$160.84
BLUE CROSS - AZ	BCBS PPO TRAD	$160.84
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$160.84
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$160.84
WC DOMESTIC	BCBS PPO TRAD	$160.84
BLUE CROSS - AR	BCBS PPO TRAD	$160.84
BLUE SHIELD - CA	BCBS PPO TRAD	$160.84
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$160.84
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$160.84
PRE-EMPLOYMENT	BCBS PPO TRAD	$160.84
BLUE CROSS - FL	BCBS PPO TRAD	$160.84
BLUE CROSS - HI	BCBS PPO TRAD	$160.84
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$160.84
BLUE CARE NETWORK	BCBS PPO TRAD	$160.84
BLUE CROSS - ID	BCBS PPO TRAD	$160.84
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - LA	BCBS PPO TRAD	$160.84
BLUE CROSS - MA	BCBS PPO TRAD	$160.84
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$160.84
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - IL	BCBS PPO TRAD	$160.84
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$160.84
BLUE CROSS - MN	BCBS PPO TRAD	$160.84
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - MI	BCBS PPO TRAD	$160.84
BLUE CROSS - KS	BCBS PPO TRAD	$160.84
BLUE CROSS - ND	BCBS PPO TRAD	$160.84
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$160.84
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$160.84
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$160.84
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$160.84
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$160.84
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$160.84
BLUE CROSS - NE	BCBS PPO TRAD	$160.84
BLUE CROSS - AL	BCBS PPO TRAD	$160.84
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$160.84
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$160.84
BLUE CROSS - WY	BCBS PPO TRAD	$160.84
BCBS GENERIC	BCBS PPO TRAD	$160.84
BLUE CROSS - ID	BCBS PPO TRAD	$165.64
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$165.64
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - HI	BCBS PPO TRAD	$165.64
BLUE CROSS - FL	BCBS PPO TRAD	$165.64
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$165.64
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$165.64
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - AR	BCBS PPO TRAD	$165.64
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE SHIELD - CA	BCBS PPO TRAD	$165.64
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$165.64
BLUE CROSS - AZ	BCBS PPO TRAD	$165.64
BLUE CROSS - AL	BCBS PPO TRAD	$165.64
BLUE CROSS - NE	BCBS PPO TRAD	$165.64
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$165.64
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$165.64
BLUE CROSS - NM	BCBS PPO TRAD	$165.64
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$165.64
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - ND	BCBS PPO TRAD	$165.64
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - KS	BCBS PPO TRAD	$165.64
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$165.64
BLUE CROSS - MI	BCBS PPO TRAD	$165.64
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - MS	BCBS PPO TRAD	$165.64
BLUE CROSS - MT	BCBS PPO TRAD	$165.64
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$165.64
BLUE CROSS - MA	BCBS PPO TRAD	$165.64
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - LA	BCBS PPO TRAD	$165.64
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - MN	BCBS PPO TRAD	$165.64
KAISER DOMESTIC	BCBS PPO TRAD	$165.64
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$165.64
BLUE CROSS - VT	BCBS PPO TRAD	$165.64
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$165.64
BLUE CROSS - TX	BCBS PPO TRAD	$165.64
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$165.64
BLUE CROSS - SC	BCBS PPO TRAD	$165.64
BLUE CROSS - TN	BCBS PPO TRAD	$165.64
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$165.64
BLUE CROSS - RI	BCBS PPO TRAD	$165.64
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$165.64
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$165.64
BLUE CROSS - OK	BCBS PPO TRAD	$165.64
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$165.64
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$165.64
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$165.64
BLUE CROSS - NC	BCBS PPO TRAD	$165.64
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$165.64
BCN DOMESTIC	BCBS PPO TRAD	$165.64
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$165.64
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$165.64
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$165.64
BLUE CARE NETWORK	BCBS PPO TRAD	$165.64
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$165.64
BCBS GENERIC	BCBS PPO TRAD	$165.64
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$165.64
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$165.64
BLUE CROSS - WY	BCBS PPO TRAD	$165.64
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$165.64
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$165.64
BLUE CROSS - IL	BCBS PPO TRAD	$165.64
HEALTH CHOICES	BCBS PPO TRAD	$165.64
PRE-EMPLOYMENT	BCBS PPO TRAD	$165.64
WC DOMESTIC	BCBS PPO TRAD	$165.64
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$191.43
WC CORVEL	WC CORVEL	$191.43
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$191.43
WC CORVEL	WC CORVEL	$191.43
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$195.46
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$195.46
WC ZENITH	WORKERS COMP	$201.50
WC JOHNS EASTERN	WORKERS COMP	$201.50
WC FCCI	WORKERS COMP	$201.50
WC ENABLECOMP	WORKERS COMP	$201.50
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$201.50
WC SENTRY	WORKERS COMP	$201.50
WC BERKLEY ADMIN	WORKERS COMP	$201.50
WC ZURICH	WORKERS COMP	$201.50
WC PMA	WORKERS COMP	$201.50
WC RURAL MUTUAL	WORKERS COMP	$201.50
WC TRAVELERS	WORKERS COMP	$201.50
WC MAC RISK MANAGEMENT	WORKERS COMP	$201.50
WC AIG	WORKERS COMP	$201.50
WC SEDGWICK	WORKERS COMP	$201.50
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$201.50
WC OHIO BUREAU	WORKERS COMP	$201.50
WC PEERLESS	WORKERS COMP	$201.50
WC SOCIETY	WORKERS COMP	$201.50
WC ONE CALL MEDICAL	WORKERS COMP	$201.50
WC US DEPT OF LABOR	WORKERS COMP	$201.50
WC MEMIC	WORKERS COMP	$201.50
WC UNITED HEARTLAND	WORKERS COMP	$201.50
WC EMC INSURANCE COMPANY	WORKERS COMP	$201.50
WC MRA	WORKERS COMP	$201.50
WC CIRMA	WORKERS COMP	$201.50
WC CT HEALTHCARE TRUST	WORKERS COMP	$201.50
WC OCC HEALTH ALLEN	WORKERS COMP	$201.50
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$201.50
WC WEST BEND	WORKERS COMP	$201.50
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$201.50
WC LIBERTY MUTUAL	WORKERS COMP	$201.50
WC CCMSI	WORKERS COMP	$201.50
WC FEDERATED	WORKERS COMP	$201.50
WC GALLAGHER BASSETT	WORKERS COMP	$201.50
WC HASTINGS	WORKERS COMP	$201.50
WC REV CLAIMS	WORKERS COMP	$201.50
WC CNA	WORKERS COMP	$201.50
WC NOVANET	WORKERS COMP	$201.50
WC YORK RISK	WORKERS COMP	$201.50
WC GUARANTEE INSURANCE	WORKERS COMP	$201.50
WC NORTH AMERICAN RISHCES	WORKERS COMP	$201.50
WC CHARTIS	WORKERS COMP	$201.50
WC GUARD INSURANCE COMPANY	WORKERS COMP	$201.50
WC AMTRUST	WORKERS COMP	$201.50
WC BROADSPIRE	WORKERS COMP	$201.50
WC AMERISURE	WORKERS COMP	$201.50
WC HORIZON	WORKERS COMP	$201.50
WC SAIF OREGON	WORKERS COMP	$201.50
WC ALIGN NETWORK	WORKERS COMP	$201.50
WC IDAHO STATE INS FUND	WORKERS COMP	$201.50
WC QUALCARE	WORKERS COMP	$201.50
WC INTERMOUNTAIN	WORKERS COMP	$201.50
NJM INSURANCE GROUP	WORKERS COMP	$201.50
WC AETNA	WORKERS COMP	$201.50
WC ERIE	WORKERS COMP	$201.50
WC ESIS	WORKERS COMP	$201.50
WC CITY OF ALBANY	WORKERS COMP	$201.50
JAG SOURCE	WORKERS COMP	$201.50
ANDRIE INC	WORKERS COMP	$201.50
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$201.50
WC MASSACHUSETTS	WORKERS COMP	$201.50
WC RISICO	WORKERS COMP	$201.50
WC MDIA	WORKERS COMP	$201.50
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$201.50
WC MICHIGAN	WORKERS COMP	$201.50
WC NOTRE DAME	WORKERS COMP	$201.50
WC TYSON	WORKERS COMP	$201.50
WC ENCORE HEALTH NETWORK	WORKERS COMP	$201.50
WC TACONIC (MRO)	WORKERS COMP	$201.50
WC EVOLUTIONS	WORKERS COMP	$201.50
WC HARTFORD	WORKERS COMP	$201.50
WC TRISTAR	WORKERS COMP	$201.50
WC MERCY WORKCARE	WORKERS COMP	$201.50
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$201.50
WC INTERCARE INSURANCE	WORKERS COMP	$201.50
WC ICW GROUP	WORKERS COMP	$201.50
WC SECURA	WORKERS COMP	$201.50
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$201.50
WC PARADIGM	WORKERS COMP	$201.50
WC HAB	WORKERS COMP	$201.50
WC FRESNO UNIFIED EMP	WORKERS COMP	$201.50
WC CLAIMS MGMT INC	WORKERS COMP	$201.50
WC GREAT WEST CASUALTY	WORKERS COMP	$201.50
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$201.50
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$201.50
WC CITY OF SIOUX CITY	WORKERS COMP	$201.50
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$201.50
WC CHUBB	WORKERS COMP	$201.50
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$201.50
WC MEIJERS	WORKERS COMP	$201.50
WC NATIONWIDE	WORKERS COMP	$201.50
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$201.50
WC AM TRUST N AMERICA	WORKERS COMP	$201.50
WC ALASKA NATIONAL INS	WORKERS COMP	$201.50
WC AIMS	WORKERS COMP	$201.50
WC ACUITY	WORKERS COMP	$201.50
GENEX WC	WORKERS COMP	$201.50
WC SRS	WORKERS COMP	$201.50
WC MEADOWBROOK CLAIM	WORKERS COMP	$201.50
WC MITCHELL FRANKENMUTH	WORKERS COMP	$201.50
WC FORD MOTOR	WORKERS COMP	$201.50
WC FEDERAL BLACK LUNG	WORKERS COMP	$201.50
WC ADVANTAGE	WORKERS COMP	$201.50
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$201.50
WC ASU RISK MGT	WORKERS COMP	$201.50
RX SAIF OPDP WC	WORKERS COMP	$201.50
RX WORKER'S COMP	WORKERS COMP	$201.50
RX RESTAT	WORKERS COMP	$201.50
RX HEATLHCOMP	WORKERS COMP	$201.50
WC GENERIC	WORKERS COMP	$201.50
WC YANKEE TRAILS	WORKERS COMP	$201.50
WC WALMART	WORKERS COMP	$201.50
WC TROY NY	WORKERS COMP	$201.50
WC KEMBERTON	WORKERS COMP	$201.50
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$201.50
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$201.50
HEALTHSMART WORKERS COMP	WORKERS COMP	$201.50
WC SHEAKLEY UNICOMP	WORKERS COMP	$201.50
WC SMILE LODGE	WORKERS COMP	$201.50
WC NORTHEAST HEALTH	WORKERS COMP	$201.50
WC PRICE CHOPPER	WORKERS COMP	$201.50
WC NCA COMP	WORKERS COMP	$201.50
WC NEW YORK	WORKERS COMP	$201.50
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$201.50
WC HIRERIGHT	WORKERS COMP	$201.50
WC BUNCH & ASSOCIATES	WORKERS COMP	$201.50
WC EMPLOYEE MUTUAL	WORKERS COMP	$201.50
WC PROCURA MANAGEMENT	WORKERS COMP	$201.50
WC TACONIC FARMS	WORKERS COMP	$201.50
WC TRIAD GROUP	WORKERS COMP	$201.50
WC GENERAL MOTORS	WORKERS COMP	$201.50
WC VELOCITY	WORKERS COMP	$201.50
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$201.50
WC GENEX CARE FOR OHIO	WORKERS COMP	$201.50
WC HEALTH MANAGEMENT	WORKERS COMP	$201.50
WC FED EX	WORKERS COMP	$201.50
WC BENETECH	WORKERS COMP	$201.50
WC COMPONE ADMIN	WORKERS COMP	$201.50
WC ACE	WORKERS COMP	$201.50
WC AEGIS	WORKERS COMP	$201.50
WC ALLIED	WORKERS COMP	$201.50
WC ACCIDENT FUND	WORKERS COMP	$201.50
WC RENY COMPANY	WORKERS COMP	$201.50
WC QUIKTRIP	WORKERS COMP	$201.50
WC O'HARA CORP	WORKERS COMP	$201.50
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$201.50
WC KEMBERTON	WORKERS COMP	$201.50
GENEX WC	WORKERS COMP	$201.50
WC PARADIGM	WORKERS COMP	$201.50
WC NORTHEAST HEALTH	WORKERS COMP	$201.50
WC SMILE LODGE	WORKERS COMP	$201.50
WC SHEAKLEY UNICOMP	WORKERS COMP	$201.50
WC TACONIC (MRO)	WORKERS COMP	$201.50
WC YANKEE TRAILS	WORKERS COMP	$201.50
WC WALMART	WORKERS COMP	$201.50
WC TROY NY	WORKERS COMP	$201.50
WC SECURA	WORKERS COMP	$201.50
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$201.50
WC GREAT WEST CASUALTY	WORKERS COMP	$201.50
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$201.50
WC NATIONWIDE	WORKERS COMP	$201.50
WC TRIAD GROUP	WORKERS COMP	$201.50
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$201.50
WC INTERCARE INSURANCE	WORKERS COMP	$201.50
WC ICW GROUP	WORKERS COMP	$201.50
WC MDIA	WORKERS COMP	$201.50
WC HAB	WORKERS COMP	$201.50
WC FRESNO UNIFIED EMP	WORKERS COMP	$201.50
WC CLAIMS MGMT INC	WORKERS COMP	$201.50
WC CITY OF SIOUX CITY	WORKERS COMP	$201.50
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$201.50
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$201.50
WC CHUBB	WORKERS COMP	$201.50
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$201.50
WC AM TRUST N AMERICA	WORKERS COMP	$201.50
WC O'HARA CORP	WORKERS COMP	$201.50
WC ENCORE HEALTH NETWORK	WORKERS COMP	$201.50
WC NOTRE DAME	WORKERS COMP	$201.50
HEALTHSMART WORKERS COMP	WORKERS COMP	$201.50
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$201.50
WC MICHIGAN	WORKERS COMP	$201.50
WC ALASKA NATIONAL INS	WORKERS COMP	$201.50
WC GENERAL MOTORS	WORKERS COMP	$201.50
WC VELOCITY	WORKERS COMP	$201.50
WC QUIKTRIP	WORKERS COMP	$201.50
WC RENY COMPANY	WORKERS COMP	$201.50
RX SAIF OPDP WC	WORKERS COMP	$201.50
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$201.50
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$201.50
WC TACONIC FARMS	WORKERS COMP	$201.50
RX WORKER'S COMP	WORKERS COMP	$201.50
WC EMPLOYEE MUTUAL	WORKERS COMP	$201.50
WC TYSON	WORKERS COMP	$201.50
WC TRISTAR	WORKERS COMP	$201.50
WC ASU RISK MGT	WORKERS COMP	$201.50
WC PROCURA MANAGEMENT	WORKERS COMP	$201.50
WC FORD MOTOR	WORKERS COMP	$201.50
WC FEDERAL BLACK LUNG	WORKERS COMP	$201.50
WC MITCHELL FRANKENMUTH	WORKERS COMP	$201.50
WC MEADOWBROOK CLAIM	WORKERS COMP	$201.50
WC SRS	WORKERS COMP	$201.50
WC MEIJERS	WORKERS COMP	$201.50
WC MERCY WORKCARE	WORKERS COMP	$201.50
WC MRA	WORKERS COMP	$201.50
WC CIRMA	WORKERS COMP	$201.50
WC BUNCH & ASSOCIATES	WORKERS COMP	$201.50
WC OCC HEALTH ALLEN	WORKERS COMP	$201.50
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$201.50
WC WEST BEND	WORKERS COMP	$201.50
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$201.50
WC CT HEALTHCARE TRUST	WORKERS COMP	$201.50
WC CCMSI	WORKERS COMP	$201.50
WC HASTINGS	WORKERS COMP	$201.50
WC LIBERTY MUTUAL	WORKERS COMP	$201.50
WC FEDERATED	WORKERS COMP	$201.50
WC GALLAGHER BASSETT	WORKERS COMP	$201.50
WC ERIE	WORKERS COMP	$201.50
WC ESIS	WORKERS COMP	$201.50
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$201.50
WC ACCIDENT FUND	WORKERS COMP	$201.50
WC HARTFORD	WORKERS COMP	$201.50
WC AEGIS	WORKERS COMP	$201.50
WC ACE	WORKERS COMP	$201.50
WC ALLIED	WORKERS COMP	$201.50
WC AIMS	WORKERS COMP	$201.50
WC ADVANTAGE	WORKERS COMP	$201.50
WC ACUITY	WORKERS COMP	$201.50
WC EVOLUTIONS	WORKERS COMP	$201.50
WC GENERIC	WORKERS COMP	$201.50
WC AETNA	WORKERS COMP	$201.50
NJM INSURANCE GROUP	WORKERS COMP	$201.50
WC INTERMOUNTAIN	WORKERS COMP	$201.50
WC QUALCARE	WORKERS COMP	$201.50
WC IDAHO STATE INS FUND	WORKERS COMP	$201.50
WC SAIF OREGON	WORKERS COMP	$201.50
WC ALIGN NETWORK	WORKERS COMP	$201.50
WC FCCI	WORKERS COMP	$201.50
WC HORIZON	WORKERS COMP	$201.50
WC JOHNS EASTERN	WORKERS COMP	$201.50
WC AMERISURE	WORKERS COMP	$201.50
WC AMTRUST	WORKERS COMP	$201.50
WC ZENITH	WORKERS COMP	$201.50
WC BROADSPIRE	WORKERS COMP	$201.50
WC CHARTIS	WORKERS COMP	$201.50
WC NORTH AMERICAN RISHCES	WORKERS COMP	$201.50
WC GUARANTEE INSURANCE	WORKERS COMP	$201.50
WC REV CLAIMS	WORKERS COMP	$201.50
WC GUARD INSURANCE COMPANY	WORKERS COMP	$201.50
WC CNA	WORKERS COMP	$201.50
WC NOVANET	WORKERS COMP	$201.50
WC YORK RISK	WORKERS COMP	$201.50
WC UNITED HEARTLAND	WORKERS COMP	$201.50
WC US DEPT OF LABOR	WORKERS COMP	$201.50
WC EMC INSURANCE COMPANY	WORKERS COMP	$201.50
WC SOCIETY	WORKERS COMP	$201.50
WC MEMIC	WORKERS COMP	$201.50
WC OHIO BUREAU	WORKERS COMP	$201.50
WC ONE CALL MEDICAL	WORKERS COMP	$201.50
WC RISICO	WORKERS COMP	$201.50
WC MASSACHUSETTS	WORKERS COMP	$201.50
ANDRIE INC	WORKERS COMP	$201.50
JAG SOURCE	WORKERS COMP	$201.50
WC CITY OF ALBANY	WORKERS COMP	$201.50
WC PEERLESS	WORKERS COMP	$201.50
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$201.50
WC SEDGWICK	WORKERS COMP	$201.50
WC MAC RISK MANAGEMENT	WORKERS COMP	$201.50
WC TRAVELERS	WORKERS COMP	$201.50
WC PMA	WORKERS COMP	$201.50
WC AIG	WORKERS COMP	$201.50
WC COMPONE ADMIN	WORKERS COMP	$201.50
WC BENETECH	WORKERS COMP	$201.50
WC FED EX	WORKERS COMP	$201.50
WC HEALTH MANAGEMENT	WORKERS COMP	$201.50
WC GENEX CARE FOR OHIO	WORKERS COMP	$201.50
WC HIRERIGHT	WORKERS COMP	$201.50
WC NCA COMP	WORKERS COMP	$201.50
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$201.50
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$201.50
WC BERKLEY ADMIN	WORKERS COMP	$201.50
WC RURAL MUTUAL	WORKERS COMP	$201.50
WC NEW YORK	WORKERS COMP	$201.50
WC PRICE CHOPPER	WORKERS COMP	$201.50
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$201.50
WC ZURICH	WORKERS COMP	$201.50
WC SENTRY	WORKERS COMP	$201.50
WC ENABLECOMP	WORKERS COMP	$201.50
RX HEATLHCOMP	WORKERS COMP	$201.50
RX RESTAT	WORKERS COMP	$201.50
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$201.50
AMBETTER	AMBETTER	$230.50
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$245.07
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$245.07
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$245.07
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$245.07
CIGNA	CIGNA SUREFIT	$251.30
CIGNA	CIGNA SUREFIT	$251.30
AMBETTER	AMBETTER	$275.70
CIGNA	CIGNA	$279.23
UPMC HEALTH PLAN	CIGNA	$279.23
CIGNA	CIGNA	$279.23
UPMC HEALTH PLAN	CIGNA	$279.23
MULTIPLAN	BEECH STREET	$488.60
MULTIPLAN	BEECH STREET	$488.60
AXA ASSISTANCE US	INTERNATIONAL	$558.40
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$558.40
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$558.40
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$558.40
SUNMED INTERNATIONAL	INTERNATIONAL	$558.40
SANUS HEALTHCARE	INTERNATIONAL	$558.40
STAR HEALTHCARE NETWORK	INTERNATIONAL	$558.40
SELECTCARE WORLDWIDE	INTERNATIONAL	$558.40
AXIS SERVICES	INTERNATIONAL	$558.40
PENFIELD CARE	INTERNATIONAL	$558.40
GLOBAL BENEFITS GROUP	INTERNATIONAL	$558.40
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$558.40
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$558.40
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$558.40
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$558.40
SANUS HEALTHCARE	INTERNATIONAL	$558.40
GLOBAL BENEFITS GROUP	INTERNATIONAL	$558.40
PENFIELD CARE	INTERNATIONAL	$558.40
AXA ASSISTANCE US	INTERNATIONAL	$558.40
STAR HEALTHCARE NETWORK	INTERNATIONAL	$558.40
SELECTCARE WORLDWIDE	INTERNATIONAL	$558.40
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$558.40
SUNMED INTERNATIONAL	INTERNATIONAL	$558.40
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$558.40
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$558.40
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$558.40
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$558.40
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$558.40
AXIS SERVICES	INTERNATIONAL	$558.40
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$558.40
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$677.06
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$677.06
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$677.06
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$677.06
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$951.71
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$951.71
UNITED HEALTHCARE MEDICARE	UNITED HEALTHCARE MEDICARE ADVANTAGE	$951.71
UNITED HEALTHCARE MEDICARE	UNITED HEALTHCARE MEDICARE ADVANTAGE	$951.71
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$951.71
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$951.71
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$951.71
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$951.71
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$970.75
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$970.75
RYAN WHITE FLORIDA MSSRP	POSITIVE HEALTH PARTNERS MEDICARE ADV	$971.14
OSCAR MEDICARE ADVANTAGE	OSCAR MEDICARE ADVANTAGE	$971.14
OSCAR MEDICARE ADVANTAGE	OSCAR MEDICARE ADVANTAGE	$971.14
FREEDOM HEALTH MEDICARE ADVANTAGE	FREEDOM HEALTH MEDICARE ADVANTAGE	$971.14
FREEDOM HEALTH MEDICARE ADVANTAGE	FREEDOM HEALTH MEDICARE ADVANTAGE	$971.14
COVENTRY MEDICARE ADVANTAGE	COVENTRY MEDICARE ADVANTAGE	$971.14
COVENTRY MEDICARE ADVANTAGE	COVENTRY MEDICARE ADVANTAGE	$971.14
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$971.14
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$971.14
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$971.14
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$971.14
VITAS HEALTHCARE CORP	VITAS HEALTHCARE	$971.14
VITAS HEALTHCARE CORP	VITAS HEALTHCARE	$971.14
CATHOLIC HOSPICE	CATHOLIC HOSPICE	$971.14
CATHOLIC HOSPICE	CATHOLIC HOSPICE	$971.14
RYAN WHITE FLORIDA MSSRP	POSITIVE HEALTH PARTNERS MEDICARE ADV	$971.14
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$973.56
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$973.56
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$980.26
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$980.26
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$999.30
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$999.30
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$999.30
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$999.30
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$999.30
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$999.30
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$1,019.69
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$1,019.69
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$1,019.69
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$1,019.69
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$1,019.69
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$1,019.69
MOLINA MARKETPLACE	MOLINA MARKETPLACE HMO	$1,340.47
MOLINA MARKETPLACE	MOLINA MARKETPLACE HMO	$1,340.47
BLUE CROSS - FL	TRULI FOR HEALTH	$1,485.84
BLUE CROSS - FL	TRULI FOR HEALTH	$1,485.84
HUMANA	HUMANA HMO-PPO	$1,522
HUMANA	HUMANA HMO-PPO	$1,522
OSCAR	OSCAR MARKETPLACE HEALTH PLAN	$1,650.93
OSCAR	OSCAR MARKETPLACE HEALTH PLAN	$1,650.93
AMBETTER	AMBETTER MARKETPLACE	$1,697.57
AMBETTER	AMBETTER MARKETPLACE	$1,697.57
AVMED HEALTH PLAN	AVMED ENTRUST MARKETPLACE	$1,786.89
AVMED HEALTH PLAN	AVMED ENTRUST MARKETPLACE	$1,786.89
CURATIVE	CURATIVE	$1,796.60
CURATIVE	CURATIVE	$1,796.60
CENTIVO	CENTIVO	$2,087.94
CENTIVO	CENTIVO	$2,087.94
AVMED HEALTH PLAN	AVMED HMO	$2,544
AVMED HEALTH PLAN	AVMED HMO	$2,544
GEHA	UNITED HEALTHCARE HMO CHOICE PLUS	$2,582
GEHA	UNITED HEALTHCARE HMO CHOICE PLUS	$2,582
UNITED HEALTHCARE	UNITED HEALTHCARE HMO CHOICE PLUS	$2,582
UNITED HEALTHCARE	UNITED HEALTHCARE HMO CHOICE PLUS	$2,582
BLUE CROSS - FL	BCBS MY BLUE	$3,047
BLUE CROSS - FL	BCBS MY BLUE	$3,047
BLUE CROSS - FL	BCBS HEALTH OPTIONS HMO	$3,639
BLUE CROSS - FL	BCBS HEALTH OPTIONS HMO	$3,639
BLUE CROSS - FL	BCBS NETWORK BLUE	$4,447
BLUE CROSS - FL	BCBS NETWORK BLUE	$4,447
BLUE CROSS - NV (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - SD (WELLMARK)	BCBS PPC	$7,541
BLUE CROSS - SD (WELLMARK)	BCBS PPC	$7,541
BLUE CROSS - AZ	BCBS PPC	$7,541
BLUE CROSS - NM	BCBS PPC	$7,541
BLUE CROSS - NM	BCBS PPC	$7,541
BLUE CROSS - NY (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - AZ	BCBS PPC	$7,541
KAISER DOMESTIC	BCBS PPC	$7,541
KAISER DOMESTIC	BCBS PPC	$7,541
BCN DOMESTIC	BCBS PPC	$7,541
BLUE CROSS - DC (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - LA	BCBS PPC	$7,541
HEALTH CHOICES	BCBS PPC	$7,541
BCN DOMESTIC	BCBS PPC	$7,541
BLUE CROSS DOMESTIC	BCBS PPC	$7,541
BLUE CROSS DOMESTIC	BCBS PPC	$7,541
BLUE CROSS - IA (WELLMARK)	BCBS PPC	$7,541
BLUE CROSS - IA (WELLMARK)	BCBS PPC	$7,541
BLUE CROSS - LA	BCBS PPC	$7,541
BLUE CROSS - MD (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - MD (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - NY (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - MA	BCBS PPC	$7,541
BLUE CROSS - MA	BCBS PPC	$7,541
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPC	$7,541
HEALTH CHOICES	BCBS PPC	$7,541
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPC	$7,541
BLUE CROSS - NC	BCBS PPC	$7,541
BLUE CROSS - NC	BCBS PPC	$7,541
BLUE CROSS - OK	BCBS PPC	$7,541
BLUE CROSS - OK	BCBS PPC	$7,541
BLUE CROSS - OR (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - OR (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - NJ (HORIZON)	BCBS PPC	$7,541
BLUE CROSS - NJ (HORIZON)	BCBS PPC	$7,541
BLUE CROSS - IL	BCBS PPC	$7,541
BLUE CROSS - WI (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - WI (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - KS	BCBS PPC	$7,541
BLUE CROSS - IL ALTERNATE	BCBS PPC	$7,541
BLUE CROSS - IL ALTERNATE	BCBS PPC	$7,541
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPC	$7,541
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPC	$7,541
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPC	$7,541
BLUE SHIELD - ID (REGENCE)	BCBS PPC	$7,541
BLUE SHIELD - ID (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - AK (PREMERA)	BCBS PPC	$7,541
BLUE CROSS - AK (PREMERA)	BCBS PPC	$7,541
BLUE CROSS - IN (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - IN (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - IL	BCBS PPC	$7,541
BLUE CROSS - KS	BCBS PPC	$7,541
BLUE CROSS - MN	BCBS PPC	$7,541
BLUE CROSS - MN	BCBS PPC	$7,541
BLUE CROSS - MI	BCBS PPC	$7,541
BLUE CROSS - MI	BCBS PPC	$7,541
PRE-EMPLOYMENT	BCBS PPC	$7,541
PRE-EMPLOYMENT	BCBS PPC	$7,541
WC DOMESTIC	BCBS PPC	$7,541
WC DOMESTIC	BCBS PPC	$7,541
BLUE CROSS - CO (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - CO (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - WV (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - CA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - AR	BCBS PPC	$7,541
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPC	$7,541
BLUE CROSS - VT	BCBS PPC	$7,541
BLUE CROSS - VT	BCBS PPC	$7,541
BLUE CROSS - VA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - VA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - VA (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - VA (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - WA (PREMERA)	BCBS PPC	$7,541
BLUE CROSS - WA (PREMERA)	BCBS PPC	$7,541
BLUE SHIELD - WA (REGENCE)	BCBS PPC	$7,541
BLUE SHIELD - WA (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - PA (CAPITAL)	BCBS PPC	$7,541
BLUE CROSS - AR	BCBS PPC	$7,541
BCBS GENERIC	BCBS PPC	$7,541
BCBS GENERIC	BCBS PPC	$7,541
BLUE CROSS - CA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - FEDERAL	BCBS PPC	$7,541
BLUE CROSS - PA (CAPITAL)	BCBS PPC	$7,541
BLUE SHIELD - PA (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - FEDERAL	BCBS PPC	$7,541
BLUE CROSS - WY	BCBS PPC	$7,541
BLUE CROSS - WY	BCBS PPC	$7,541
BLUE SHIELD - CA	BCBS PPC	$7,541
BLUE SHIELD - CA	BCBS PPC	$7,541
BLUE SHIELD - PA (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - RI	BCBS PPC	$7,541
BLUE CROSS - RI	BCBS PPC	$7,541
BLUE CROSS - SC	BCBS PPC	$7,541
BLUE CROSS - SC	BCBS PPC	$7,541
BLUE CROSS - TN	BCBS PPC	$7,541
BLUE CROSS - TN	BCBS PPC	$7,541
BLUE CROSS - TX	BCBS PPC	$7,541
BLUE CROSS - WV (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - KY (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - KY (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - ME (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - ME (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - NH (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - AL	BCBS PPC	$7,541
BLUE CROSS - AL	BCBS PPC	$7,541
BLUE CROSS - TX	BCBS PPC	$7,541
BLUE CROSS - UT (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - UT (REGENCE)	BCBS PPC	$7,541
BLUE CROSS - NY (EXCELLUS)	BCBS PPC	$7,541
BLUE CROSS - NY (EXCELLUS)	BCBS PPC	$7,541
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPC	$7,541
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPC	$7,541
BLUE CROSS - MS	BCBS PPC	$7,541
BLUE CROSS - MS	BCBS PPC	$7,541
BLUE CROSS - NE	BCBS PPC	$7,541
BLUE CROSS - NE	BCBS PPC	$7,541
BLUE CROSS - NH (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - MT	BCBS PPC	$7,541
BLUE CROSS - MT	BCBS PPC	$7,541
BLUE CROSS - OH (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - OH (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - NV (ANTHEM)	BCBS PPC	$7,541
BLUE DISTINCTION TRANSPLANT	BCBS PPC	$7,541
BLUE DISTINCTION TRANSPLANT	BCBS PPC	$7,541
BLUE CROSS - GA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - GA (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - HI	BCBS PPC	$7,541
BLUE CROSS - HI	BCBS PPC	$7,541
BLUE CROSS - ID	BCBS PPC	$7,541
BLUE CROSS - ID	BCBS PPC	$7,541
BLUE CROSS - MO (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - MO (ANTHEM)	BCBS PPC	$7,541
BLUE CARE NETWORK	BCBS PPC	$7,541
BLUE CARE NETWORK	BCBS PPC	$7,541
BLUE CROSS - ND	BCBS PPC	$7,541
BLUE CROSS - ND	BCBS PPC	$7,541
BLUE CROSS - DE (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - DE (HIGHMARK)	BCBS PPC	$7,541
BLUE CROSS - CT (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - CT (ANTHEM)	BCBS PPC	$7,541
BLUE CROSS - DC (CAREFIRST)	BCBS PPC	$7,541
BLUE CROSS - FL	BCBS TRADITIONAL PHS	$10,114
BLUE CROSS - FL	BCBS TRADITIONAL PHS	$10,114

Key finding: Blue Cross Blue Shield rates for code 45378 range from $55.82 under a Blue Cross plan at Cleveland Clinic Weston to $16,655 under a PPO plan at Nicklaus Children's Hospital.

What to Do With These Colonoscopy Prices

Quote 45378 and 45380 together. Call the hospital's billing or price estimate line and ask for its cash or self-pay price and an itemized estimate under 45378 (screening) and 45380 (with biopsy). Whether a biopsy is taken is decided during the procedure, so the code can change on the day. Ask your insurer separately how a biopsy would change your share.

Set any quote beside the numbers on this page. At Cleveland Clinic Weston Hospital, the cash price for 45378 is $932.10, and the insured range for that code runs from $55.82 to $6,317. At Holy Cross Hospital and Mount Sinai Medical Center, cash equals the gross charge, so no discount is published. On this page, no hospital's cash price sits below or above every one of its insured rates, so a cash quote is not automatically lower or higher than what insurers pay. Check your insurer's rate for your own plan before comparing.

Expect more than the hospital's bill. The prices here are facility charges only. Ask whether the hospital bill covers just the facility fee, then check for separate bills from:

the physician who performs the procedure
the anesthesia provider
a lab, if tissue is sent for testing

Ask each of them for its own estimate, since these are not included in the figures above.

Treat blanks as missing, not free. Cash prices are not published for 11 of the 19 hospitals, including all HCA Florida hospitals and Nicklaus Children's Hospital. Gross charges are missing in 22 of 38 rows. A $0 or blank entry means the data was not published, so ask the hospital directly.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About Colonoscopy Costs

How much does a colonoscopy cost without insurance in Miami-Fort Lauderdale-West Palm Beach?

Reported cash prices for code 45378 (Screening Colonoscopy) are $698 at Holy Cross Fort Lauderdale, $915.16 at Lakeside Medical Center, $932.10 at Cleveland Clinic Weston, $2,515 at Mount Sinai Miami Beach, and $3,591.70 at the four Memorial hospitals. For code 45380 (Colonoscopy with Biopsy), cash prices are $765 at Holy Cross, $1,017.90 at Cleveland Clinic Weston, $1,183.54 at Lakeside, $2,515 at Mount Sinai, and $4,388.30 at the Memorial hospitals. HCA Florida hospitals and Nicklaus Children's list $0, which appears to be incomplete data; their insured rates run from $97.91 to $16,655. Overall, cash prices range from $698 to $4,388.30. Facility fees are separate from physician and professional fees, which are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge is the chargemaster price, a hospital's full list price before any discounts. Almost no one pays it, because insurers negotiate lower rates and hospitals offer reduced cash prices to self-pay patients. At Memorial hospitals, the cash price is 70% of gross ($3,591.70 versus $5,131 for code 45378). At Lakeside Medical Center, cash is 35% of gross ($915.16 versus $2,616). Memorial's discount is smaller in percentage terms than Lakeside's cash discount of 65%, but the picture reverses on dollars: a larger discount at Lakeside still leaves a lower cash price. At Holy Cross Fort Lauderdale, cash equals gross at $698.

Does insurance cover a colonoscopy?

Coverage depends on the specific plan and whether the procedure meets the plan's medical necessity criteria. Negotiated rates vary widely: for code 45378, they range from $55.82 to $16,655 across 3,610 payer rates in the region. Some plans require prior authorization for non-emergency procedures. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate your insurer has set with the hospital, not the gross charge. Your plan's summary of benefits and your insurer's member services line can confirm what applies to your coverage.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The facility fee covers the hospital's room, equipment, and staff, but several other charges are billed separately. The gastroenterologist or surgeon performing the procedure bills a professional fee. An anesthesiologist or anesthesia provider bills separately for sedation. When biopsies are taken, a pathologist bills a separate fee for examining the tissue samples. Facility fee prices on this page do not include any of these. A procedure performed through the emergency department also incurs a separate ER facility fee. Dollar amounts for these additional charges are not included in the hospital price data.

What is the cash price for a colonoscopy at Memorial Hospital Miramar in Miami-Fort Lauderdale?

Memorial Hospital Miramar lists a cash price of $3,591.70 for Screening Colonoscopy (45378) and $4,388.30 for Colonoscopy with Biopsy (45380). Those are facility charges only. The listed gross charges are $5,131 and $6,269, so the cash figures are 70% of gross. Professional and other fees are not included.

What are the lowest and highest colonoscopy cash prices in Miami, Fort Lauderdale and West Palm Beach?

The page's cash range runs from $698 at Holy Cross Hospital (45378) to $4,388.30 at Memorial Hospital Miramar (45380). Holy Cross Hospital's cash price equals its gross charge, so excluding such hospitals the low is $915.16 at Lakeside Medical Center. These are facility charges only, and 11 hospitals publish no cash price.

What does Florida Blue pay for a colonoscopy at hospitals in the Miami area?

Florida Blue rates on this page run from $55.82 at Cleveland Clinic Weston Hospital to $16,655 at Nicklaus Children's Hospital, with a median of $1,183.54 across 15 hospitals. The highest is about 298x the lowest. These are facility charges only, and rates vary by hospital, code and plan.

Why do HCA Florida hospitals show no cash price for colonoscopy?

HCA Florida hospitals on this page, such as HCA Florida Aventura Hospital and HCA Florida JFK Hospital, published their gross charge and cash price as $0 or blank. That means the data is missing, not that the procedure is free. Insured rates are published, for example $2,750 for 45378 at HCA Florida Aventura Hospital.

What is the range of Holy Cross Hospital colonoscopy rates, and is there a self-pay discount?

Holy Cross Hospital lists $698 as both gross charge and cash price for 45378, so no self-pay discount is published. Its insured rates for that code run from $58.36 to $10,114. The highest is about 173x the lowest in the payer table. All figures are facility charges only.

Compare Other Procedures in Miami-Fort Lauderdale-West Palm Beach

Echocardiogram Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $514 to $16,025.

ER Visit Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $148 to $16,140.

MRI Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $242.63 to $18,069.25.

Data Sources

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Baptist Hospital of Miami

File updated: 2026-03-30 · Accessed by us: 2026-10-15

Attested by: Sarah Vaupen

We are not affiliated with Baptist Hospital of Miami. Published prices may not reflect your actual cost. Disclaimer

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