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

A transthoracic echocardiogram with Doppler is an ultrasound test performed from the outside of the chest. A technician places a handheld probe, called a transducer, against the skin, and sound waves produce moving images of the heart's chambers, walls, and valves. The Doppler component measures the speed and direction of blood flow. The result is a set of images and measurements reviewed by a physician. The hospital's facility fee covers the room, equipment, and technical staff. The procedure is billed under HCPCS code 93306. Prices on this page come from CMS-mandated hospital price transparency files.

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Data may be outdated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.

Transthoracic Echocardiogram with Doppler (HCPCS 93306)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Baptist Hospital Miami	$6,321	$4,108.65	$173.17	$6,321	Schedule →
Bethesda East	$6,321	$4,108.65	$297.58	$6,321	Schedule →
Boca Raton Regional	$4,185	$2,720.25	$422	$2,732.81	Schedule →
Doctors Hospital	$6,321	$4,108.65	$288.47	$6,321	Schedule →
Homestead Hospital	$6,321	$4,108.65	$167.89	$6,321	Schedule →
South Miami Hospital	$6,321	$4,108.65	$288.47	$6,321	Schedule →
West Kendall Baptist	$6,321	$4,108.65	$288.47	$6,321	Schedule →
Cleveland Clinic Weston	$3,941	$2,561.65	$54.56	$4,583	Schedule →
HCA Aventura *	$11,959	$11,959 *	$147.25	$14,350.80	Schedule →
HCA JFK *	$5,845	$5,845 *	$144.40	$7,014	Schedule →
HCA JFK North *	$5,845	$5,845 *	$144.40	$4,968.25	Schedule →
HCA Kendall *	$14,826	$14,826 *	$147.25	$17,791.20	Schedule →
HCA Mercy *	$14,259	$14,259 *	$147.25	$17,110.80	Schedule →
HCA Northwest *	$16,025	$16,025 *	$144.40	$13,621.25	Schedule →
HCA Palms West *	$5,288	$5,288 *	$144.40	$6,345.60	Schedule →
HCA University *	$11,746	$11,746 *	$147.44	$5,873	Schedule →
HCA Westside *	$14,441	$14,441 *	$144.40	$17,329.20	Schedule →
HCA Woodmont *	$6,203	$6,203 *	$144.40	$5,272.55	Schedule →
Holy Cross Fort Lauderdale *	$727	$727 *	$43.03	$5,591	Schedule →
Jackson Memorial	$2,708	$514	$299.84	$5,280.60	Schedule →
Jackson North	$2,573	$514	$271	$5,280.60	Schedule →
Jackson South	$2,573	$514	$271	$5,280.60	Schedule →
Jackson West	$2,573	$514	$271	$5,280.60	Schedule →
Lakeside Medical Center	$2,182	$550.37	$50.66	$1,974.89	Schedule →
Memorial Miramar	$8,957	$6,269.90	$604.85	$7,613.45	Schedule →
Memorial Pembroke	$8,957	$6,269.90	$604.85	$7,613.45	Schedule →
Memorial West	$8,957	$6,269.90	$570.61	$7,613.45	Schedule →
Memorial Regional	$8,957	$6,269.90	$570.61	$7,613.45	Schedule →
Mount Sinai Miami Beach *	$3,744.25	$3,744.25 *	$129.72	$3,744.25	Schedule →
Nicklaus Children's	N/A	N/A	$2,998.44	$3,328.21	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.

What These Prices Mean

Understanding the price columns The gross charge is the hospital's full list price, also called the chargemaster rate. The cash price is what a patient without insurance is quoted, and the insured range spans the lowest to highest negotiated rates with commercial and government payers. In this dataset, gross charges for code 93306 run from $727 at Holy Cross Fort Lauderdale to $16,025 at HCA Northwest. Cash prices run from $514 at Jackson Memorial to $16,025 at HCA Northwest. Discount depth varies widely. Jackson Memorial's cash price is 19% of its $2,708 gross charge, while Baptist Hospital Miami's is 65% of $6,321, yet Baptist's cash price of $4,108.65 is still far higher than Jackson's. A larger percentage discount does not guarantee a lower price. Patients on high-deductible plans who have not met their deductible generally owe the negotiated rate, not the gross charge. What code 93306 covers Code 93306 describes a complete transthoracic echocardiogram that combines two-dimensional imaging, spectral Doppler, and color flow Doppler in one study. Only this single code appears in the data, so there are no code-to-code price differences to compare.

Why Echocardiogram Prices Vary

Hospital pricing structures Gross charges for code 93306 span from $727 to $16,025, a gap of $15,298. Cash prices span from $514 to $16,025, a gap of $15,511, so the spread does not narrow much from gross to cash. The reason is that discount policies differ. The Jackson hospitals set cash prices at roughly 19% to 20% of gross, Lakeside Medical Center at 25%, Cleveland Clinic Weston, Boca Raton Regional, and the Baptist-affiliated group at 65%, and the Memorial hospitals at 70%. Holy Cross Fort Lauderdale, Mount Sinai Miami Beach, and the HCA hospitals list cash prices equal to gross charges, a 100% ratio. Facility type and alternatives The dataset includes a public academic system, community hospitals, regional health systems, and national hospital chains. Cash prices range from $514 to $16,025 across these facility types. Outpatient or freestanding facilities are not in this dataset and may charge differently for the same service. Nicklaus Children's lists $0 for both gross and cash price, which indicates incomplete data rather than a real price; its insured range of $2,998.44 to $3,328.21 provides context instead.

Paying cash? Health insurance could lower your Echocardiogram cost.

Published cash prices on this page range from $514 to $16,025 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $43.03 (Holy Cross 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 Echocardiogram in Miami-Fort Lauderdale-West Palm Beach

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

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Aetna	$50.66	Lakeside Medical Center	$4,807.50	29
Superior Health Plan	$51.57	Holy Cross Hospital	$2,978.80	7
Florida Blue	$51.57	Holy Cross Hospital	$3,411	15
Cigna	$51.57	Holy Cross Hospital	$3,365.25	30
Humana	$51.57	Holy Cross Hospital	$3,744.25	19
Molina Healthcare	$51.57	Holy Cross Hospital	$4,326.75	21
UnitedHealthcare	$51.57	Holy Cross Hospital	$7,211.25	29
WellCare	$51.57	Holy Cross Hospital	$3,182.61	18

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 Transthoracic Echocardiogram with Doppler (HCPCS 93306) at Holy Cross Fort Lauderdale, outpatient facility fee:

Transthoracic Echocardiogram with Doppler (93306), Holy Cross Fort Lauderdale Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
MEDICAID - MI	MEDICAID	$43.03
MEDICAID - MI	MEDICAID	$43.03
MEDICAID - IL	MEDICAID	$45.71
MEDICAID - IL	MEDICAID	$45.71
NASCENTIA HEALTH OPTIONS	MEDICAID	$51.57
MDWISE	MEDICAID	$51.57
AMERIGROUP MEDICAID	MEDICAID	$51.57
BMC HEALTHNET	MEDICAID	$51.57
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$51.57
CMH MACOMB	MEDICAID	$51.57
MEDI-CAL BLUE CROSS	MEDICAID	$51.57
UCARE MEDICAID	MEDICAID	$51.57
ROBERT F SING PROGRAM	MEDICAID	$51.57
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$51.57
CMH MUSKEGON COUNTY	MEDICAID	$51.57
CMH NEWAYGO COUNTY	MEDICAID	$51.57
CMH LENAWEE COUNTY	MEDICAID	$51.57
CMH LIVINGSTON COUNTY	MEDICAID	$51.57
CMH KALAMAZOO	MEDICAID	$51.57
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$51.57
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$51.57
CARE OREGON OHP	MEDICAID	$51.57
INTERCOMMUNITY HEALTH OHP	MEDICAID	$51.57
HAP MEDICAID	MEDICAID	$51.57
RYAN WHITE FLORIDA MSSRP	MEDICAID	$51.57
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$51.57
BCCP	MEDICAID	$51.57
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$51.57
NEXTLEVEL HEALTH	MEDICAID	$51.57
HARBOR HEALTH	MEDICAID	$51.57
WASHTENAW HEALTH PLAN	MEDICAID	$51.57
MCLAREN HEALTH MEDICAID	MEDICAID	$51.57
CMH BAY-ARENAC COUNTY	MEDICAID	$51.57
CMH BERRIEN COUNTY	MEDICAID	$51.57
PRIORITY HEALTH MEDICAID	MEDICAID	$51.57
MEDICAID PENDING	MEDICAID	$51.57
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$51.57
RX MEDICAID	MEDICAID	$51.57
CMH ALLEGAN COUNTY	MEDICAID	$51.57
CMH AUSABLE VALLEY	MEDICAID	$51.57
BLUE CROSS COMPLETE - MI	MEDICAID	$51.57
PARAMOUNT ADVANTAGE	MEDICAID	$51.57
CMH WEST MI COUNTY	MEDICAID	$51.57
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
BCCCP-MICHIGAN	MEDICAID	$51.57
PEACH STATE HEALTHPLAN	MEDICAID	$51.57
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$51.57
KEYSTONE FIRST	MEDICAID	$51.57
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$51.57
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDSTAR MD HEALTH CHOICE	MEDICAID	$51.57
CMH MISC	MEDICAID	$51.57
CMH MONROE COUNTY	MEDICAID	$51.57
FAMILY HEALTH NETWORK	MEDICAID	$51.57
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$51.57
MERIDIAN MEDICAID	MEDICAID	$51.57
MEDI-CAL HEALTHNET	MEDICAID	$51.57
DELAWARE FIRST HEALTH	MEDICAID	$51.57
AMISH MENNONITE	MEDICAID	$51.57
CMH IONIA COUNTY	MEDICAID	$51.57
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$51.57
CMH KENT COUNTY	MEDICAID	$51.57
CMH CASS COUNTY	MEDICAID	$51.57
CMH CENTRAL MI COUNTY	MEDICAID	$51.57
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$51.57
CMH WAYNE COUNTY/CARELINK	MEDICAID	$51.57
RX MEDI-CAL	MEDICAID	$51.57
CMH GENESEE COUNTY	MEDICAID	$51.57
CMH BARRY COUNTY	MEDICAID	$51.57
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$51.57
MO HOME STATE HEALTH PLAN	MEDICAID	$51.57
AETNA MEDICAID	MEDICAID	$51.57
HEALTHY BLUE NE	MEDICAID	$51.57
IOWA TOTAL CARE	MEDICAID	$51.57
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$51.57
BLUE PLUS MO MEDICAID	MEDICAID	$51.57
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$51.57
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$51.57
CMH WASHTENAW COUNTY	MEDICAID	$51.57
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$51.57
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$51.57
CMH NORTHERN LAKES COUNTY	MEDICAID	$51.57
CMH OAKLAND COUNTY	MEDICAID	$51.57
CMH OTTAWA COUNTY	MEDICAID	$51.57
CMH VAN BUREN COUNTY	MEDICAID	$51.57
CMH MONTCALM COUNTY	MEDICAID	$51.57
SECURITY HEALTH MEDICAID	MEDICAID	$51.57
CARESOURCE MEDICAID	MEDICAID	$51.57
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$51.57
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$51.57
ICARE MEDICAID	MEDICAID	$51.57
LAKELAND CARE INC	MEDICAID	$51.57
CHILDRENS COMM HEALTH PLAN	MEDICAID	$51.57
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$51.57
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$51.57
CENTENE	MEDICAID	$51.57
ID COUNTY ADA	MEDICAID	$51.57
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$51.57
TENNCARE	MEDICAID	$51.57
MERCYCARE MEDICAID	MEDICAID	$51.57
UNITY MEDICAID	MEDICAID	$51.57
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$51.57
WI WOMENS WELLNESS	MEDICAID	$51.57
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
COMMUNITY CARE MEDICAID	MEDICAID	$51.57
DEAN HEALTH MEDICAID	MEDICAID	$51.57
KEYSTONE FIRST CHIP	MEDICAID	$51.57
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$51.57
CENPATICO	MEDICAID	$51.57
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$51.57
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDICAID - KS	MEDICAID	$51.57
MEDICAID - HI	MEDICAID	$51.57
COUNTY CORONER	MEDICAID	$51.57
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$51.57
CMH NORTH COUNTRY	MEDICAID	$51.57
MEDICAID SPENDDOWN	MEDICAID	$51.57
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$51.57
NEBRASKA TOTAL CARE	MEDICAID	$51.57
PARTNERS BEHAVIORAL LME	MEDICAID	$51.57
VAYA HEALTH LME	MEDICAID	$51.57
SANDHILLS CENTER LME	MEDICAID	$51.57
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$51.57
MEDICAID - DE	MEDICAID	$51.57
MEDICAID - DC	MEDICAID	$51.57
MEDICAID - FL	MEDICAID	$51.57
MEDICAID - GA	MEDICAID	$51.57
MEDICAID - AZ	MEDICAID	$51.57
ID COUNTY OTHER	MEDICAID	$51.57
ID COUNTY CAT FUND	MEDICAID	$51.57
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$51.57
EASTPOINTE LME	MEDICAID	$51.57
MEDICAID - NV	MEDICAID	$51.57
MEDICAID - NH	MEDICAID	$51.57
MEDICAID - MN	MEDICAID	$51.57
MEDICAID - MS	MEDICAID	$51.57
TRILOGY MEDICAID	MEDICAID	$51.57
COUNTY CARE MEDICAID	MEDICAID	$51.57
HENNEPIN HEALTH	MEDICAID	$51.57
ID COUNTY PAYETTE	MEDICAID	$51.57
CENCAL HEALTH PLAN	MEDICAID	$51.57
INLAND EMPIRE HEALTH PLAN	MEDICAID	$51.57
KERN FAMILY HEALTH PLAN	MEDICAID	$51.57
LA CARE HEALTH PLAN	MEDICAID	$51.57
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$51.57
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$51.57
STEPHENSON CTY HEALTH	MEDICAID	$51.57
CARDINAL INNOVATIONS LME	MEDICAID	$51.57
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$51.57
PRESTIGE HEALTH CHOICE	MEDICAID	$51.57
MOLINA CENTENNIAL CARE	MEDICAID	$51.57
MEDICAID - MO	MEDICAID	$51.57
MEDICAID - MT	MEDICAID	$51.57
MEDICAID - ME	MEDICAID	$51.57
MEDICAID - MD	MEDICAID	$51.57
MEDICAID - MA	MEDICAID	$51.57
MEDICAID - KY	MEDICAID	$51.57
UNITED HEALTHCARE MEDICAID	MEDICAID	$51.57
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$51.57
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$51.57
WELLSENSE HEALTH PLAN	MEDICAID	$51.57
FREEDOM FIRST HEALTHCARE	MEDICAID	$51.57
DELTA DENTAL NJ	MEDICAID	$51.57
TRILLIUM COMMUNITY OHP	MEDICAID	$51.57
UPMC MEDICAID ADVANTAGE	MEDICAID	$51.57
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$51.57
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$51.57
CITY OF PHILADELPHIA	MEDICAID	$51.57
COUNTY FUNDING GENERIC	MEDICAID	$51.57
IDAHO WOMENS HEALTH CHECK	MEDICAID	$51.57
INDIANA BREAST CERVICAL CANCER	MEDICAID	$51.57
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$51.57
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$51.57
EMBLEM HEALTH MEDICAID	MEDICAID	$51.57
FIRSTCARE MEDICAID	MEDICAID	$51.57
PRIORITY PARTNERS	MEDICAID	$51.57
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$51.57
MEDICAID - LA	MEDICAID	$51.57
MEDICAID - PA	MEDICAID	$51.57
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$51.57
INDEPENDENT CARE MEDICAID	MEDICAID	$51.57
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$51.57
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$51.57
SUPERIOR HEALTH	MEDICAID	$51.57
COMMUNITY BENEFIT HEALTH	MEDICAID	$51.57
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$51.57
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$51.57
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$51.57
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$51.57
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$51.57
MEDICAID - AR	MEDICAID	$51.57
MEDICAID - CO	MEDICAID	$51.57
RX MERIDIAN RX	MEDICAID	$51.57
MEDI-CAL	MEDICAID	$51.57
FRESNO COUNTY CCS	MEDICAID	$51.57
HEALTH SAFETY NET	MEDICAID	$51.57
MVP MEDICAID ADVANTAGE	MEDICAID	$51.57
VNSNY CHOICE MEDICAID	MEDICAID	$51.57
DSCC	MEDICAID	$51.57
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$51.57
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
CHHUNY	MEDICAID	$51.57
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$51.57
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDICAID - CT	MEDICAID	$51.57
MEDICAID - AL	MEDICAID	$51.57
MEDICAID - AK	MEDICAID	$51.57
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$51.57
RX 340B PASS ALONG	MEDICAID	$51.57
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$51.57
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$51.57
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$51.57
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$51.57
COMMUNITY HEALTH CHOICE	MEDICAID	$51.57
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$51.57
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$51.57
HURON VALLEY PACE MEDICAID	MEDICAID	$51.57
MEDICAID - NC	MEDICAID	$51.57
MEDICAID - ND	MEDICAID	$51.57
MEDICAID - OH	MEDICAID	$51.57
MEDICAID - NJ	MEDICAID	$51.57
MEDICAID - NM	MEDICAID	$51.57
CARELON HEALTH MEDICAID	MEDICAID	$51.57
MEDICAID ADVANTAGE GENERIC	MEDICAID	$51.57
JAI MEDICAL SYSTEM	MEDICAID	$51.57
MARYLAND PHYSICIANS CARE	MEDICAID	$51.57
MEDICAID - IN	MEDICAID	$51.57
MEDICAID - IA	MEDICAID	$51.57
TOTAL HEALTH CARE MEDICAID	MEDICAID	$51.57
PHILADELPHIA COUNTY FUNDING	MEDICAID	$51.57
CONNECTIONS CSP	MEDICAID	$51.57
MEDICAID - NY	MEDICAID	$51.57
MEDICAID - VA	MEDICAID	$51.57
MEDICAID - WA	MEDICAID	$51.57
MEDICAID - WV	MEDICAID	$51.57
MEDICAID - WI	MEDICAID	$51.57
COMMUNITY CARE PARTNERS	MEDICAID	$51.57
MEDICAID - TX	MEDICAID	$51.57
MEDICAID - UT	MEDICAID	$51.57
MEDICAID - VT	MEDICAID	$51.57
MEDICAID - RI	MEDICAID	$51.57
MEDICAID - SC	MEDICAID	$51.57
MEDICAID - SD	MEDICAID	$51.57
MEDICAID - TN	MEDICAID	$51.57
MEDICAID - OK	MEDICAID	$51.57
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$51.57
CARE WISCONSIN MEDICAID	MEDICAID	$51.57
WELLPOINT MEDICAID	MEDICAID	$51.57
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
SCREENING FOR LIFE	MEDICAID	$51.57
MEDICAID - NY SSL	MEDICAID	$51.57
DPH TB PROGRAM	MEDICAID	$51.57
MEDICAID MA QMB	MEDICAID	$51.57
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$51.57
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$51.57
HUMANA MEDICAID	HUMANA MEDICAID	$51.57
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$51.57
DEAN WI BADGERCARE	MEDICAID	$51.57
GHC SCW WI BADGERCARE	MEDICAID	$51.57
OREGON SCREENWISE	MEDICAID	$51.57
MEDICAID - WY	MEDICAID	$51.57
MEDICAID OOS NHI	MEDICAID	$51.57
BREAST GRANT-CONNECTICUT	MEDICAID	$51.57
CIGNA MEDICAID ADVANTAGE	MEDICAID	$51.57
ID COUNTY CANYON	MEDICAID	$51.57
UCARE MEDICAID	MEDICAID	$51.57
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$51.57
HARBOR HEALTH	MEDICAID	$51.57
WASHTENAW HEALTH PLAN	MEDICAID	$51.57
MCLAREN HEALTH MEDICAID	MEDICAID	$51.57
MDWISE	MEDICAID	$51.57
HAP MEDICAID	MEDICAID	$51.57
CONNECTIONS CSP	MEDICAID	$51.57
COMMUNITY CARE PARTNERS	MEDICAID	$51.57
PHILADELPHIA COUNTY FUNDING	MEDICAID	$51.57
ID COUNTY PAYETTE	MEDICAID	$51.57
BCCP	MEDICAID	$51.57
CMH WEST MI COUNTY	MEDICAID	$51.57
CMH WASHTENAW COUNTY	MEDICAID	$51.57
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$51.57
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$51.57
CMH MISC	MEDICAID	$51.57
CMH MONROE COUNTY	MEDICAID	$51.57
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$51.57
UNITY MEDICAID	MEDICAID	$51.57
MEDICAID - MD	MEDICAID	$51.57
SCREENING FOR LIFE	MEDICAID	$51.57
MEDICAID - NY SSL	MEDICAID	$51.57
DPH TB PROGRAM	MEDICAID	$51.57
MEDICAID MA QMB	MEDICAID	$51.57
ID COUNTY OTHER	MEDICAID	$51.57
AMERIGROUP MEDICAID	MEDICAID	$51.57
BMC HEALTHNET	MEDICAID	$51.57
CMH MONTCALM COUNTY	MEDICAID	$51.57
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$51.57
SECURITY HEALTH MEDICAID	MEDICAID	$51.57
CARESOURCE MEDICAID	MEDICAID	$51.57
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$51.57
CARE WISCONSIN MEDICAID	MEDICAID	$51.57
WELLPOINT MEDICAID	MEDICAID	$51.57
MEDICAID - WI	MEDICAID	$51.57
MEDICAID - WY	MEDICAID	$51.57
MEDICAID OOS NHI	MEDICAID	$51.57
BREAST GRANT-CONNECTICUT	MEDICAID	$51.57
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$51.57
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$51.57
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$51.57
CARELON HEALTH MEDICAID	MEDICAID	$51.57
MEDICAID ADVANTAGE GENERIC	MEDICAID	$51.57
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$51.57
ID COUNTY CANYON	MEDICAID	$51.57
PEACH STATE HEALTHPLAN	MEDICAID	$51.57
INTERCOMMUNITY HEALTH OHP	MEDICAID	$51.57
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
WI WOMENS WELLNESS	MEDICAID	$51.57
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$51.57
NEBRASKA TOTAL CARE	MEDICAID	$51.57
CIGNA MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDICAID - TX	MEDICAID	$51.57
MEDICAID - UT	MEDICAID	$51.57
MEDICAID - VT	MEDICAID	$51.57
MEDICAID - VA	MEDICAID	$51.57
MEDICAID - WA	MEDICAID	$51.57
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
COMMUNITY BENEFIT HEALTH	MEDICAID	$51.57
FREEDOM FIRST HEALTHCARE	MEDICAID	$51.57
DELTA DENTAL NJ	MEDICAID	$51.57
JAI MEDICAL SYSTEM	MEDICAID	$51.57
MARYLAND PHYSICIANS CARE	MEDICAID	$51.57
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$51.57
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$51.57
MERIDIAN MEDICAID	MEDICAID	$51.57
KEYSTONE FIRST	MEDICAID	$51.57
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$51.57
AMISH MENNONITE	MEDICAID	$51.57
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$51.57
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$51.57
CMH MUSKEGON COUNTY	MEDICAID	$51.57
CMH NEWAYGO COUNTY	MEDICAID	$51.57
CMH NORTHERN LAKES COUNTY	MEDICAID	$51.57
HUMANA MEDICAID	HUMANA MEDICAID	$51.57
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$51.57
DEAN WI BADGERCARE	MEDICAID	$51.57
GHC SCW WI BADGERCARE	MEDICAID	$51.57
CHHUNY	MEDICAID	$51.57
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$51.57
INDEPENDENT CARE MEDICAID	MEDICAID	$51.57
MEDICAID - IA	MEDICAID	$51.57
MEDICAID - KS	MEDICAID	$51.57
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
RX 340B PASS ALONG	MEDICAID	$51.57
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$51.57
BLUE PLUS MO MEDICAID	MEDICAID	$51.57
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$51.57
MO HOME STATE HEALTH PLAN	MEDICAID	$51.57
AETNA MEDICAID	MEDICAID	$51.57
HEALTHY BLUE NE	MEDICAID	$51.57
MEDSTAR MD HEALTH CHOICE	MEDICAID	$51.57
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$51.57
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$51.57
CMH IONIA COUNTY	MEDICAID	$51.57
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$51.57
CMH KENT COUNTY	MEDICAID	$51.57
CMH LENAWEE COUNTY	MEDICAID	$51.57
CMH LIVINGSTON COUNTY	MEDICAID	$51.57
CMH BARRY COUNTY	MEDICAID	$51.57
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$51.57
EMBLEM HEALTH MEDICAID	MEDICAID	$51.57
COMMUNITY HEALTH CHOICE	MEDICAID	$51.57
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$51.57
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
RX MERIDIAN RX	MEDICAID	$51.57
MEDICAID - FL	MEDICAID	$51.57
MEDICAID - GA	MEDICAID	$51.57
MEDICAID - HI	MEDICAID	$51.57
CARE OREGON OHP	MEDICAID	$51.57
MEDICAID PENDING	MEDICAID	$51.57
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$51.57
FAMILY HEALTH NETWORK	MEDICAID	$51.57
IOWA TOTAL CARE	MEDICAID	$51.57
CMH BAY-ARENAC COUNTY	MEDICAID	$51.57
CMH BERRIEN COUNTY	MEDICAID	$51.57
CMH CASS COUNTY	MEDICAID	$51.57
CMH CENTRAL MI COUNTY	MEDICAID	$51.57
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$51.57
CMH GENESEE COUNTY	MEDICAID	$51.57
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$51.57
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$51.57
FIRSTCARE MEDICAID	MEDICAID	$51.57
PRIORITY PARTNERS	MEDICAID	$51.57
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$51.57
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDICAID - WV	MEDICAID	$51.57
MEDICAID - PA	MEDICAID	$51.57
MEDICAID - RI	MEDICAID	$51.57
MEDICAID - IN	MEDICAID	$51.57
MEDICAID - AR	MEDICAID	$51.57
MEDICAID - CO	MEDICAID	$51.57
NASCENTIA HEALTH OPTIONS	MEDICAID	$51.57
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$51.57
STEPHENSON CTY HEALTH	MEDICAID	$51.57
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$51.57
EASTPOINTE LME	MEDICAID	$51.57
CARDINAL INNOVATIONS LME	MEDICAID	$51.57
PARTNERS BEHAVIORAL LME	MEDICAID	$51.57
VAYA HEALTH LME	MEDICAID	$51.57
SANDHILLS CENTER LME	MEDICAID	$51.57
TENNCARE	MEDICAID	$51.57
MEDICAID - TN	MEDICAID	$51.57
MEDICAID - NY	MEDICAID	$51.57
MEDICAID - SC	MEDICAID	$51.57
MEDICAID - SD	MEDICAID	$51.57
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$51.57
SUPERIOR HEALTH	MEDICAID	$51.57
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$51.57
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$51.57
WELLSENSE HEALTH PLAN	MEDICAID	$51.57
LA CARE HEALTH PLAN	MEDICAID	$51.57
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$51.57
CITY OF PHILADELPHIA	MEDICAID	$51.57
COUNTY FUNDING GENERIC	MEDICAID	$51.57
CENCAL HEALTH PLAN	MEDICAID	$51.57
DELAWARE FIRST HEALTH	MEDICAID	$51.57
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$51.57
CMH MACOMB	MEDICAID	$51.57
ROBERT F SING PROGRAM	MEDICAID	$51.57
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$51.57
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$51.57
PRESTIGE HEALTH CHOICE	MEDICAID	$51.57
MOLINA CENTENNIAL CARE	MEDICAID	$51.57
MERCYCARE MEDICAID	MEDICAID	$51.57
MEDICAID - NC	MEDICAID	$51.57
MEDICAID - ND	MEDICAID	$51.57
MEDICAID - OH	MEDICAID	$51.57
MEDICAID - OK	MEDICAID	$51.57
MEDICAID - MT	MEDICAID	$51.57
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$51.57
TRILOGY MEDICAID	MEDICAID	$51.57
COUNTY CARE MEDICAID	MEDICAID	$51.57
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$51.57
MEDICAID - AL	MEDICAID	$51.57
MEDICAID - AK	MEDICAID	$51.57
MEDICAID - AZ	MEDICAID	$51.57
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$51.57
ID COUNTY CAT FUND	MEDICAID	$51.57
INLAND EMPIRE HEALTH PLAN	MEDICAID	$51.57
KERN FAMILY HEALTH PLAN	MEDICAID	$51.57
CMH NORTH COUNTRY	MEDICAID	$51.57
MEDICAID SPENDDOWN	MEDICAID	$51.57
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$51.57
UPMC MEDICAID ADVANTAGE	MEDICAID	$51.57
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$51.57
CENTENE	MEDICAID	$51.57
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$51.57
MEDICAID - CT	MEDICAID	$51.57
MEDICAID - DE	MEDICAID	$51.57
MEDICAID - DC	MEDICAID	$51.57
RX MEDICAID	MEDICAID	$51.57
MEDI-CAL BLUE CROSS	MEDICAID	$51.57
MEDI-CAL	MEDICAID	$51.57
FRESNO COUNTY CCS	MEDICAID	$51.57
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$51.57
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$51.57
CMH ALLEGAN COUNTY	MEDICAID	$51.57
CMH AUSABLE VALLEY	MEDICAID	$51.57
CMH WAYNE COUNTY/CARELINK	MEDICAID	$51.57
HEALTH SAFETY NET	MEDICAID	$51.57
IDAHO WOMENS HEALTH CHECK	MEDICAID	$51.57
INDIANA BREAST CERVICAL CANCER	MEDICAID	$51.57
PRIORITY HEALTH MEDICAID	MEDICAID	$51.57
MVP MEDICAID ADVANTAGE	MEDICAID	$51.57
MEDICAID - NV	MEDICAID	$51.57
MEDICAID - NH	MEDICAID	$51.57
MEDICAID - NJ	MEDICAID	$51.57
MEDICAID - NM	MEDICAID	$51.57
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$51.57
ICARE MEDICAID	MEDICAID	$51.57
LAKELAND CARE INC	MEDICAID	$51.57
HENNEPIN HEALTH	MEDICAID	$51.57
MEDI-CAL HEALTHNET	MEDICAID	$51.57
BCCCP-MICHIGAN	MEDICAID	$51.57
VNSNY CHOICE MEDICAID	MEDICAID	$51.57
MEDICAID - MA	MEDICAID	$51.57
MEDICAID - MN	MEDICAID	$51.57
MEDICAID - MS	MEDICAID	$51.57
MEDICAID - MO	MEDICAID	$51.57
UNITED HEALTHCARE MEDICAID	MEDICAID	$51.57
KEYSTONE FIRST CHIP	MEDICAID	$51.57
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$51.57
CENPATICO	MEDICAID	$51.57
CHILDRENS COMM HEALTH PLAN	MEDICAID	$51.57
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$51.57
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$51.57
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$51.57
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$51.57
ID COUNTY ADA	MEDICAID	$51.57
BLUE CROSS COMPLETE - MI	MEDICAID	$51.57
CMH KALAMAZOO	MEDICAID	$51.57
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$51.57
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$51.57
RYAN WHITE FLORIDA MSSRP	MEDICAID	$51.57
HURON VALLEY PACE MEDICAID	MEDICAID	$51.57
MEDICAID - KY	MEDICAID	$51.57
MEDICAID - LA	MEDICAID	$51.57
MEDICAID - ME	MEDICAID	$51.57
COMMUNITY CARE MEDICAID	MEDICAID	$51.57
DEAN HEALTH MEDICAID	MEDICAID	$51.57
OREGON SCREENWISE	MEDICAID	$51.57
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$51.57
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$51.57
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$51.57
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$51.57
TRILLIUM COMMUNITY OHP	MEDICAID	$51.57
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$51.57
DSCC	MEDICAID	$51.57
COUNTY CORONER	MEDICAID	$51.57
TOTAL HEALTH CARE MEDICAID	MEDICAID	$51.57
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$51.57
NEXTLEVEL HEALTH	MEDICAID	$51.57
PARAMOUNT ADVANTAGE	MEDICAID	$51.57
RX MEDI-CAL	MEDICAID	$51.57
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$51.57
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$51.57
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$51.57
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$51.57
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$51.57
CMH OAKLAND COUNTY	MEDICAID	$51.57
CMH OTTAWA COUNTY	MEDICAID	$51.57
CMH VAN BUREN COUNTY	MEDICAID	$51.57
MEDICAID - OR	MEDICAID	$53.57
MEDICAID - OR	MEDICAID	$53.57
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$54.15
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$54.15
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$54.15
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$54.15
MEDICAID - ID	MEDICAID	$54.52
MEDICAID - ID	MEDICAID	$54.52
MOLINA MEDICAID	MOLINA MEDICAID	$56.73
MOLINA MEDICAID	MOLINA MEDICAID	$56.73
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$57.53
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$57.53
BCBS GENERIC	BCBS PPO TRAD	$58.36
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - WY	BCBS PPO TRAD	$58.36
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$58.36
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - IL	BCBS PPO TRAD	$58.36
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$58.36
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - TX	BCBS PPO TRAD	$58.36
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - MN	BCBS PPO TRAD	$58.36
BLUE CARE NETWORK	BCBS PPO TRAD	$58.36
BLUE CROSS - MI	BCBS PPO TRAD	$58.36
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$58.36
BLUE CROSS - FL	BCBS NETWORK BLUE	$58.36
BLUE CROSS - FL	BCBS PPO TRAD	$58.36
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - AR	BCBS PPO TRAD	$58.36
BLUE CROSS - NE	BCBS PPO TRAD	$58.36
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE SHIELD - CA	BCBS PPO TRAD	$58.36
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$58.36
BLUE CROSS - AZ	BCBS PPO TRAD	$58.36
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - AL	BCBS PPO TRAD	$58.36
BLUE CROSS - KS	BCBS PPO TRAD	$58.36
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - ND	BCBS PPO TRAD	$58.36
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$58.36
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - MA	BCBS PPO TRAD	$58.36
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - LA	BCBS PPO TRAD	$58.36
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - HI	BCBS PPO TRAD	$58.36
KAISER DOMESTIC	BCBS PPO TRAD	$58.36
BLUE CROSS - ID	BCBS PPO TRAD	$58.36
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$58.36
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$58.36
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$58.36
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - NM	BCBS PPO TRAD	$58.36
BLUE CROSS - RI	BCBS PPO TRAD	$58.36
BLUE CROSS - SC	BCBS PPO TRAD	$58.36
BLUE CROSS - TN	BCBS PPO TRAD	$58.36
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$58.36
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - NC	BCBS PPO TRAD	$58.36
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$58.36
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - MS	BCBS PPO TRAD	$58.36
BLUE CROSS - MT	BCBS PPO TRAD	$58.36
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - VT	BCBS PPO TRAD	$58.36
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - OK	BCBS PPO TRAD	$58.36
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$58.36
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$58.36
HEALTH CHOICES	BCBS PPO TRAD	$58.36
BCN DOMESTIC	BCBS PPO TRAD	$58.36
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$58.36
PRE-EMPLOYMENT	BCBS PPO TRAD	$58.36
WC DOMESTIC	BCBS PPO TRAD	$58.36
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - LA	BCBS PPO TRAD	$58.36
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$58.36
BLUE CROSS - FL	BCBS NETWORK BLUE	$58.36
BLUE CROSS - FL	BCBS PPO TRAD	$58.36
PRE-EMPLOYMENT	BCBS PPO TRAD	$58.36
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - HI	BCBS PPO TRAD	$58.36
BLUE CROSS - ID	BCBS PPO TRAD	$58.36
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - AZ	BCBS PPO TRAD	$58.36
BLUE CROSS - AR	BCBS PPO TRAD	$58.36
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE SHIELD - CA	BCBS PPO TRAD	$58.36
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - NE	BCBS PPO TRAD	$58.36
BLUE CROSS - VT	BCBS PPO TRAD	$58.36
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$58.36
HEALTH CHOICES	BCBS PPO TRAD	$58.36
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - RI	BCBS PPO TRAD	$58.36
BLUE CROSS - SC	BCBS PPO TRAD	$58.36
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$58.36
BLUE CROSS - NC	BCBS PPO TRAD	$58.36
BLUE CROSS - OK	BCBS PPO TRAD	$58.36
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$58.36
BLUE CROSS - NM	BCBS PPO TRAD	$58.36
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$58.36
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$58.36
BLUE CROSS - MA	BCBS PPO TRAD	$58.36
BLUE CROSS - MS	BCBS PPO TRAD	$58.36
BLUE CROSS - MT	BCBS PPO TRAD	$58.36
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$58.36
KAISER DOMESTIC	BCBS PPO TRAD	$58.36
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$58.36
BCBS GENERIC	BCBS PPO TRAD	$58.36
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$58.36
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$58.36
BCN DOMESTIC	BCBS PPO TRAD	$58.36
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - AL	BCBS PPO TRAD	$58.36
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$58.36
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$58.36
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - WY	BCBS PPO TRAD	$58.36
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$58.36
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$58.36
BLUE CROSS - MI	BCBS PPO TRAD	$58.36
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - KS	BCBS PPO TRAD	$58.36
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - ND	BCBS PPO TRAD	$58.36
BLUE CROSS - TN	BCBS PPO TRAD	$58.36
BLUE CROSS - TX	BCBS PPO TRAD	$58.36
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$58.36
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$58.36
BLUE CROSS - IL	BCBS PPO TRAD	$58.36
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$58.36
BLUE CROSS - MN	BCBS PPO TRAD	$58.36
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$58.36
BLUE CARE NETWORK	BCBS PPO TRAD	$58.36
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$58.36
WC DOMESTIC	BCBS PPO TRAD	$58.36
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$60.91
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$60.91
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$60.91
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$60.91
TRICARE WEST HEALTHNET	TRICARE	$63.65
TRICARE EAST HUMANA	TRICARE	$63.65
TRIWEST HEALTH ALLIANCE	TRICARE	$63.65
TRICARE	TRICARE	$63.65
US FAMILY HEALTH PLAN	TRICARE	$63.65
CHAMPVA	TRICARE	$63.65
VETERANS EVAL SERVICES	TRICARE	$63.65
TRICARE	TRICARE	$63.65
US FAMILY HEALTH PLAN	TRICARE	$63.65
CHAMPVA	TRICARE	$63.65
TRICARE WEST HEALTHNET	TRICARE	$63.65
TRIWEST HEALTH ALLIANCE	TRICARE	$63.65
TRICARE EAST HUMANA	TRICARE	$63.65
VETERANS EVAL SERVICES	TRICARE	$63.65
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$64.92
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$64.92
MICHIGAN COMPLETE HEALTH	MEDICARE	$67.68
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$67.68
DEAN HEALTH MEDICARE SELECT	MEDICARE	$67.68
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$67.68
CARE IMPROVEMENT PLUS	MEDICARE	$67.68
HARVARD PILGRIM MEDICARE	MEDICARE	$67.68
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$67.68
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$67.68
CLOVER HEALTH	MEDICARE	$67.68
LONGEVITY HEALTH PLAN	MEDICARE	$67.68
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$67.68
GEORGIA HEALTH ADVANTAGE	MEDICARE	$67.68
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$67.68
HUMANA MEDICARE TRANSPLANT	MEDICARE	$67.68
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$67.68
CARE DIMENSIONS	MEDICARE	$67.68
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$67.68
TRIBUTE HEALTH PLANS	MEDICARE	$67.68
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$67.68
CCA SENIOR CARE OPTIONS	MEDICARE	$67.68
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$67.68
PRESBYTERIAN SENIOR PLAN	MEDICARE	$67.68
SECURE HORIZONS MA PFFS	MEDICARE	$67.68
HOPE SELECT PACE	MEDICARE	$67.68
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$67.68
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$67.68
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$67.68
VNSNY CHOICE MEDICARE	MEDICARE	$67.68
EVERCARE	MEDICARE	$67.68
MEDICARE ADVANTAGE GENERIC	MEDICARE	$67.68
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$67.68
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$67.68
AETNA MEDICARE TRANSPLANT	MEDICARE	$67.68
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
ICARE MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$67.68
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$67.68
MVP MEDICARE ADVANTAGE	MEDICARE	$67.68
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
TEXAN PLUS	MEDICARE	$67.68
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$67.68
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$67.68
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$67.68
MEDIPAK ADVANTAGE	MEDICARE	$67.68
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$67.68
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
OPTUM MEDICARE TRANSPLANT	MEDICARE	$67.68
ESSENCE MEDICARE HMO	MEDICARE	$67.68
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$67.68
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$67.68
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$67.68
ELEMENTCARE	MEDICARE	$67.68
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$67.68
MOLINA MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$67.68
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$67.68
AMERIHEALTH MEDICARE	MEDICARE	$67.68
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$67.68
RX MEDICARE PART B	MEDICARE	$67.68
RX ALLWIN	MEDICARE	$67.68
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
MI HEALTHLINK MEDICARE	MEDICARE	$67.68
OSU PRIME CARE ADVANTAGE	MEDICARE	$67.68
THE HEALTH PLAN	MEDICARE	$67.68
CARESOURCE MEDICARE	MEDICARE	$67.68
MEDICAL MUTUAL MEDICARE	MEDICARE	$67.68
HAP MEDICARE ADVANTAGE	MEDICARE	$67.68
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$67.68
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$67.68
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$67.68
HORIZON NJ TOTAL CARE	MEDICARE	$67.68
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$67.68
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICA MEDICARE ADVANTAGE	MEDICARE	$67.68
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$67.68
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$67.68
EDDY SENIOR CARE-PACE	MEDICARE	$67.68
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$67.68
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$67.68
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$67.68
PEAK PACE SOLUTIONS	MEDICARE	$67.68
MEDICARE	MEDICARE	$67.68
THOME PACE	MEDICARE	$67.68
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$67.68
MERIDIAN COMPLETE	MEDICARE	$67.68
CARE WISCONSIN MEDICARE	MEDICARE	$67.68
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$67.68
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$67.68
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$67.68
GOLD ADVANTAGE	MEDICARE	$67.68
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$67.68
UNICARE MEDICARE ADVANTAGE	MEDICARE	$67.68
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$67.68
RX MEDICARE	MEDICARE	$67.68
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
OSCAR MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$67.68
SECURITY HEALTH MEDICARE	MEDICARE	$67.68
UCARE MEDICARE	MEDICARE	$67.68
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$67.68
EDDY SENIORCARE PACE	MEDICARE	$67.68
LIFE ST MARYS PACE	MEDICARE	$67.68
ALIGN SENIOR CARE	MEDICARE	$67.68
CARE RESOURCES PACE	MEDICARE	$67.68
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$67.68
EVERENCE	MEDICARE	$67.68
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$67.68
CLEAR SPRING HEALTH	MEDICARE	$67.68
NETWORK MEDICARE ADVANTAGE	MEDICARE	$67.68
MOLINA MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$67.68
UM HEALTH ADVANTAGE	MEDICARE	$67.68
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$67.68
AURORA SPECIAL NEEDS	MEDICARE	$67.68
WELLMED	MEDICARE	$67.68
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$67.68
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$67.68
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$67.68
PERENNIAL ADVANTAGE	MEDICARE	$67.68
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$67.68
HUDSON HEADWATERS PACE	MEDICARE	$67.68
AMERICAN HEALTH PLAN	MEDICARE	$67.68
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$67.68
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
UPMC MEDICARE ADVANTAGE	MEDICARE	$67.68
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$67.68
FRESNO PACE MEDICARE	MEDICARE	$67.68
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$67.68
PRUITTHEALTH PREMIER	MEDICARE	$67.68
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
ANTHEM MYCARE OHIO	MEDICARE	$67.68
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$67.68
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$67.68
CONNECTICARE VIP MEDICARE	MEDICARE	$67.68
MEDICARE PUERTO RICO	MEDICARE	$67.68
TODAYS OPTIONS	MEDICARE	$67.68
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
GATEWAY HEALTH PLAN	MEDICARE	$67.68
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$67.68
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICARE ALTERNATE PAYOR	MEDICARE	$67.68
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$67.68
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$67.68
TUFTS MEDICARE ADVANTAGE	MEDICARE	$67.68
LASSO HEALTHCARE MSA	MEDICARE	$67.68
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$67.68
LIFECIRCLES PACE	MEDICARE	$67.68
RX ALLWIN	MEDICARE	$67.68
COMMONWEALTH CARE ALLIANCE	MEDICARE	$67.68
RX RETIREE RX CARE	MEDICARE	$67.68
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$67.68
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$67.68
PACE SOUTHEAST	MEDICARE	$67.68
UNION HEALTH SERVICE	MEDICARE	$67.68
MERCYONE CEDAR VALLEY	MEDICARE	$67.68
CCA - ZING HEALTH	MEDICARE	$67.68
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$67.68
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$67.68
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$67.68
HURON VALLEY PACE	MEDICARE	$67.68
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
UNIVERSAL MEDICARE	MEDICARE	$67.68
RX GRANE GRNMEDD	MEDICARE	$67.68
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$67.68
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$67.68
PHP MEDICARE	MEDICARE	$67.68
NASCENTIA HEALTH PLUS	MEDICARE	$67.68
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$67.68
COMMUNITY PACE AT HOME	MEDICARE	$67.68
RX CARELONRX MEDICARE	MEDICARE	$67.68
FIDELIS MEDICARE	MEDICARE	$67.68
SIOUXLAND PACE	MEDICARE	$67.68
MERCY LIFE	MEDICARE	$67.68
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$67.68
PACE CNY	MEDICARE	$67.68
PACE-TRINITY HEALTH	MEDICARE	$67.68
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$67.68
GPA CROELL REDI MIX	MEDICARE	$67.68
SERENITY PACE	MEDICARE	$67.68
HEALTH AMERICA ADVANTRA	MEDICARE	$67.68
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$67.68
PROMINENCE MEDICARE	MEDICARE	$67.68
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$67.68
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$67.68
IOWA HEALTH ADVANTAGE	MEDICARE	$67.68
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$67.68
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$67.68
WELBE HEALTH	MEDICARE	$67.68
ALLY ALIGN CARE ADV	MEDICARE	$67.68
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$67.68
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$67.68
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$67.68
HARVARD PILGRIM MEDICARE	MEDICARE	$67.68
TEXAN PLUS	MEDICARE	$67.68
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
MVP MEDICARE ADVANTAGE	MEDICARE	$67.68
CCA SENIOR CARE OPTIONS	MEDICARE	$67.68
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$67.68
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$67.68
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$67.68
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
CARESOURCE MEDICARE	MEDICARE	$67.68
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
GATEWAY HEALTH PLAN	MEDICARE	$67.68
PRUITTHEALTH PREMIER	MEDICARE	$67.68
WELBE HEALTH	MEDICARE	$67.68
EVERENCE	MEDICARE	$67.68
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$67.68
EDDY SENIOR CARE-PACE	MEDICARE	$67.68
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$67.68
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICAL MUTUAL MEDICARE	MEDICARE	$67.68
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$67.68
MEDIPAK ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$67.68
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$67.68
CLOVER HEALTH	MEDICARE	$67.68
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$67.68
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$67.68
ANTHEM MYCARE OHIO	MEDICARE	$67.68
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$67.68
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
OPTUM MEDICARE TRANSPLANT	MEDICARE	$67.68
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$67.68
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$67.68
MOLINA MEDICARE ADVANTAGE	MEDICARE	$67.68
MI HEALTHLINK MEDICARE	MEDICARE	$67.68
CARE DIMENSIONS	MEDICARE	$67.68
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$67.68
ELEMENTCARE	MEDICARE	$67.68
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$67.68
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$67.68
PERENNIAL ADVANTAGE	MEDICARE	$67.68
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
ESSENCE MEDICARE HMO	MEDICARE	$67.68
DEAN HEALTH MEDICARE SELECT	MEDICARE	$67.68
CLEAR SPRING HEALTH	MEDICARE	$67.68
ICARE MEDICARE ADVANTAGE	MEDICARE	$67.68
COMMONWEALTH CARE ALLIANCE	MEDICARE	$67.68
RX RETIREE RX CARE	MEDICARE	$67.68
COMMUNITY PACE AT HOME	MEDICARE	$67.68
UNION HEALTH SERVICE	MEDICARE	$67.68
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICARE	MEDICARE	$67.68
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$67.68
GOLD ADVANTAGE	MEDICARE	$67.68
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
GEORGIA HEALTH ADVANTAGE	MEDICARE	$67.68
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$67.68
TRIBUTE HEALTH PLANS	MEDICARE	$67.68
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$67.68
PROMINENCE MEDICARE	MEDICARE	$67.68
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$67.68
LASSO HEALTHCARE MSA	MEDICARE	$67.68
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$67.68
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$67.68
HURON VALLEY PACE	MEDICARE	$67.68
MICHIGAN COMPLETE HEALTH	MEDICARE	$67.68
NETWORK MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$67.68
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$67.68
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$67.68
HUMANA MEDICARE TRANSPLANT	MEDICARE	$67.68
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$67.68
AETNA MEDICARE TRANSPLANT	MEDICARE	$67.68
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$67.68
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$67.68
LONGEVITY HEALTH PLAN	MEDICARE	$67.68
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$67.68
HUDSON HEADWATERS PACE	MEDICARE	$67.68
AMERICAN HEALTH PLAN	MEDICARE	$67.68
IOWA HEALTH ADVANTAGE	MEDICARE	$67.68
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$67.68
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$67.68
TODAYS OPTIONS	MEDICARE	$67.68
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$67.68
MERCYONE CEDAR VALLEY	MEDICARE	$67.68
CCA - ZING HEALTH	MEDICARE	$67.68
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$67.68
LIFECIRCLES PACE	MEDICARE	$67.68
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$67.68
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$67.68
MOLINA MEDICARE ADVANTAGE	MEDICARE	$67.68
SECURITY HEALTH MEDICARE	MEDICARE	$67.68
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$67.68
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$67.68
TUFTS MEDICARE ADVANTAGE	MEDICARE	$67.68
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$67.68
UPMC MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$67.68
CONNECTICARE VIP MEDICARE	MEDICARE	$67.68
MEDICARE PUERTO RICO	MEDICARE	$67.68
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
RX MEDICARE	MEDICARE	$67.68
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
UNICARE MEDICARE ADVANTAGE	MEDICARE	$67.68
CARE RESOURCES PACE	MEDICARE	$67.68
EDDY SENIORCARE PACE	MEDICARE	$67.68
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$67.68
UCARE MEDICARE	MEDICARE	$67.68
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$67.68
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$67.68
UNIVERSAL MEDICARE	MEDICARE	$67.68
NASCENTIA HEALTH PLUS	MEDICARE	$67.68
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$67.68
EVERCARE	MEDICARE	$67.68
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$67.68
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$67.68
THOME PACE	MEDICARE	$67.68
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICA MEDICARE ADVANTAGE	MEDICARE	$67.68
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$67.68
UM HEALTH ADVANTAGE	MEDICARE	$67.68
AURORA SPECIAL NEEDS	MEDICARE	$67.68
LIFE ST MARYS PACE	MEDICARE	$67.68
ALIGN SENIOR CARE	MEDICARE	$67.68
AMERIHEALTH MEDICARE	MEDICARE	$67.68
HORIZON NJ TOTAL CARE	MEDICARE	$67.68
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$67.68
MEDICARE ALTERNATE PAYOR	MEDICARE	$67.68
FIDELIS MEDICARE	MEDICARE	$67.68
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$67.68
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$67.68
ALLY ALIGN CARE ADV	MEDICARE	$67.68
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$67.68
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$67.68
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$67.68
MEDICARE ADVANTAGE GENERIC	MEDICARE	$67.68
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$67.68
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$67.68
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$67.68
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$67.68
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$67.68
PEAK PACE SOLUTIONS	MEDICARE	$67.68
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$67.68
VNSNY CHOICE MEDICARE	MEDICARE	$67.68
RX ALLWIN	MEDICARE	$67.68
RX MEDICARE PART B	MEDICARE	$67.68
RX ALLWIN	MEDICARE	$67.68
GPA CROELL REDI MIX	MEDICARE	$67.68
PHP MEDICARE	MEDICARE	$67.68
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$67.68
FRESNO PACE MEDICARE	MEDICARE	$67.68
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
OSCAR MEDICARE ADVANTAGE	MEDICARE	$67.68
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$67.68
MERIDIAN COMPLETE	MEDICARE	$67.68
HAP MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$67.68
PACE CNY	MEDICARE	$67.68
PACE-TRINITY HEALTH	MEDICARE	$67.68
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$67.68
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$67.68
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$67.68
SERENITY PACE	MEDICARE	$67.68
SIOUXLAND PACE	MEDICARE	$67.68
MERCY LIFE	MEDICARE	$67.68
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$67.68
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$67.68
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$67.68
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$67.68
CARE WISCONSIN MEDICARE	MEDICARE	$67.68
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$67.68
OSU PRIME CARE ADVANTAGE	MEDICARE	$67.68
THE HEALTH PLAN	MEDICARE	$67.68
RX CARELONRX MEDICARE	MEDICARE	$67.68
HEALTH AMERICA ADVANTRA	MEDICARE	$67.68
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$67.68
PACE SOUTHEAST	MEDICARE	$67.68
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$67.68
WELLMED	MEDICARE	$67.68
CARE IMPROVEMENT PLUS	MEDICARE	$67.68
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$67.68
PRESBYTERIAN SENIOR PLAN	MEDICARE	$67.68
HOPE SELECT PACE	MEDICARE	$67.68
SECURE HORIZONS MA PFFS	MEDICARE	$67.68
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$67.68
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$67.68
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$67.68
RX GRANE GRNMEDD	MEDICARE	$67.68
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$69.06
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$69.06
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$69.06
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$69.06
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$70.44
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$70.44
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$71.06
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$71.06
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$71.06
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$71.06
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$71.06
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$71.06
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$72.51
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$72.51
AMBETTER	AMBETTER	$78.24
AMBETTER	AMBETTER	$78.24
AVMED HEALTH PLAN	AVMED SELECT	$80.38
AVMED HEALTH PLAN	AVMED MARKETPLACE	$80.38
AVMED HEALTH PLAN	AVMED MARKETPLACE	$80.38
AVMED HEALTH PLAN	AVMED SELECT	$80.38
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$82.87
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$82.87
AVMED HEALTH PLAN	AVMED	$83.06
AVMED HEALTH PLAN	AVMED	$83.06
HUMANA	HUMANA	$86.88
HUMANA	HUMANA	$86.88
OSCAR	OSCAR	$89.78
OSCAR	OSCAR	$89.78
GEHA	UNITED HEALTHCARE	$91.40
UNITED HEALTHCARE	UNITED HEALTHCARE	$91.40
UNITED HEALTHCARE	UHC OPTIONS PPO	$91.40
UNITED HEALTHCARE	UNITED HEALTHCARE	$91.40
UNITED HEALTHCARE	UHC OPTIONS PPO	$91.40
GEHA	UNITED HEALTHCARE	$91.40
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$91.64
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$91.64
CENTIVO	CENTIVO	$96.68
CURATIVE	CURATIVE FL	$96.68
CENTIVO	CENTIVO	$96.68
CURATIVE	CURATIVE FL	$96.68
MULTIPLAN	MULTIPLAN	$103.59
PHCS	PHCS	$103.59
MULTIPLAN	MULTIPLAN	$103.59
PHCS	PHCS	$103.59
CIGNA	CIGNA SUREFIT	$104.99
CIGNA	CIGNA SUREFIT	$104.99
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$114
WC CORVEL	WC CORVEL	$114
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$114
WC CORVEL	WC CORVEL	$114
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$116.40
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$116.40
UPMC HEALTH PLAN	CIGNA	$116.65
CIGNA	CIGNA	$116.65
CIGNA	CIGNA	$116.65
UPMC HEALTH PLAN	CIGNA	$116.65
FIRST HEALTH	AETNA	$119.62
AETNA DOMESTIC	AETNA	$119.62
AETNA	AETNA	$119.62
AETNA	AETNA GLOBAL	$119.62
COVENTRY	AETNA	$119.62
MERITAIN	AETNA	$119.62
FIRST HEALTH	AETNA	$119.62
MERITAIN	AETNA	$119.62
AETNA DOMESTIC	AETNA	$119.62
COVENTRY	AETNA	$119.62
AETNA	AETNA	$119.62
AETNA	AETNA GLOBAL	$119.62
WC AMTRUST	WORKERS COMP	$120
WC ENABLECOMP	WORKERS COMP	$120
WC SECURA	WORKERS COMP	$120
WC PARADIGM	WORKERS COMP	$120
WC AIMS	WORKERS COMP	$120
WC ADVANTAGE	WORKERS COMP	$120
WC AM TRUST N AMERICA	WORKERS COMP	$120
WC YORK RISK	WORKERS COMP	$120
WC RENY COMPANY	WORKERS COMP	$120
WC O'HARA CORP	WORKERS COMP	$120
WC ALASKA NATIONAL INS	WORKERS COMP	$120
WC WALMART	WORKERS COMP	$120
WC REV CLAIMS	WORKERS COMP	$120
WC GUARD INSURANCE COMPANY	WORKERS COMP	$120
WC SAIF OREGON	WORKERS COMP	$120
WC AETNA	WORKERS COMP	$120
WC KEMBERTON	WORKERS COMP	$120
WC QUIKTRIP	WORKERS COMP	$120
WC INTERMOUNTAIN	WORKERS COMP	$120
NJM INSURANCE GROUP	WORKERS COMP	$120
RX HEATLHCOMP	WORKERS COMP	$120
WC TACONIC FARMS	WORKERS COMP	$120
WC TROY NY	WORKERS COMP	$120
WC CCMSI	WORKERS COMP	$120
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$120
WC MRA	WORKERS COMP	$120
WC CIRMA	WORKERS COMP	$120
WC WEST BEND	WORKERS COMP	$120
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$120
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$120
WC TRIAD GROUP	WORKERS COMP	$120
WC YANKEE TRAILS	WORKERS COMP	$120
WC ESIS	WORKERS COMP	$120
WC GALLAGHER BASSETT	WORKERS COMP	$120
WC ERIE	WORKERS COMP	$120
WC CT HEALTHCARE TRUST	WORKERS COMP	$120
WC OCC HEALTH ALLEN	WORKERS COMP	$120
WC HASTINGS	WORKERS COMP	$120
WC LIBERTY MUTUAL	WORKERS COMP	$120
WC AIG	WORKERS COMP	$120
WC ALIGN NETWORK	WORKERS COMP	$120
HEALTHSMART WORKERS COMP	WORKERS COMP	$120
WC FEDERATED	WORKERS COMP	$120
WC PMA	WORKERS COMP	$120
WC PEERLESS	WORKERS COMP	$120
WC SEDGWICK	WORKERS COMP	$120
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$120
WC VELOCITY	WORKERS COMP	$120
WC ACUITY	WORKERS COMP	$120
WC MERCY WORKCARE	WORKERS COMP	$120
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$120
WC INTERCARE INSURANCE	WORKERS COMP	$120
WC MEMIC	WORKERS COMP	$120
WC SOCIETY	WORKERS COMP	$120
WC ONE CALL MEDICAL	WORKERS COMP	$120
WC OHIO BUREAU	WORKERS COMP	$120
WC UNITED HEARTLAND	WORKERS COMP	$120
WC EMC INSURANCE COMPANY	WORKERS COMP	$120
WC HORIZON	WORKERS COMP	$120
WC IDAHO STATE INS FUND	WORKERS COMP	$120
WC QUALCARE	WORKERS COMP	$120
GENEX WC	WORKERS COMP	$120
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$120
WC TRISTAR	WORKERS COMP	$120
WC CLAIMS MGMT INC	WORKERS COMP	$120
WC TYSON	WORKERS COMP	$120
WC US DEPT OF LABOR	WORKERS COMP	$120
WC JOHNS EASTERN	WORKERS COMP	$120
WC FCCI	WORKERS COMP	$120
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$120
WC SENTRY	WORKERS COMP	$120
RX RESTAT	WORKERS COMP	$120
WC CITY OF SIOUX CITY	WORKERS COMP	$120
WC GREAT WEST CASUALTY	WORKERS COMP	$120
WC HAB	WORKERS COMP	$120
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$120
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$120
WC RURAL MUTUAL	WORKERS COMP	$120
WC BERKLEY ADMIN	WORKERS COMP	$120
WC ZURICH	WORKERS COMP	$120
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$120
WC FRESNO UNIFIED EMP	WORKERS COMP	$120
WC ICW GROUP	WORKERS COMP	$120
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$120
WC TRAVELERS	WORKERS COMP	$120
WC MAC RISK MANAGEMENT	WORKERS COMP	$120
WC GUARANTEE INSURANCE	WORKERS COMP	$120
WC NOVANET	WORKERS COMP	$120
WC CNA	WORKERS COMP	$120
WC BROADSPIRE	WORKERS COMP	$120
RX WORKER'S COMP	WORKERS COMP	$120
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$120
WC CHUBB	WORKERS COMP	$120
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$120
WC NORTH AMERICAN RISHCES	WORKERS COMP	$120
WC CHARTIS	WORKERS COMP	$120
WC AMERISURE	WORKERS COMP	$120
WC ZENITH	WORKERS COMP	$120
WC ENCORE HEALTH NETWORK	WORKERS COMP	$120
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$120
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$120
WC AEGIS	WORKERS COMP	$120
WC MICHIGAN	WORKERS COMP	$120
WC EVOLUTIONS	WORKERS COMP	$120
WC HARTFORD	WORKERS COMP	$120
WC ALLIED	WORKERS COMP	$120
WC EMPLOYEE MUTUAL	WORKERS COMP	$120
WC ACCIDENT FUND	WORKERS COMP	$120
WC ACE	WORKERS COMP	$120
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$120
WC MDIA	WORKERS COMP	$120
WC NOTRE DAME	WORKERS COMP	$120
WC PROCURA MANAGEMENT	WORKERS COMP	$120
WC GENERIC	WORKERS COMP	$120
WC RISICO	WORKERS COMP	$120
JAG SOURCE	WORKERS COMP	$120
WC BUNCH & ASSOCIATES	WORKERS COMP	$120
WC GENERAL MOTORS	WORKERS COMP	$120
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$120
WC MEADOWBROOK CLAIM	WORKERS COMP	$120
WC CITY OF ALBANY	WORKERS COMP	$120
ANDRIE INC	WORKERS COMP	$120
WC NATIONWIDE	WORKERS COMP	$120
WC MASSACHUSETTS	WORKERS COMP	$120
WC NORTHEAST HEALTH	WORKERS COMP	$120
WC PRICE CHOPPER	WORKERS COMP	$120
WC SHEAKLEY UNICOMP	WORKERS COMP	$120
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$120
WC NCA COMP	WORKERS COMP	$120
WC NEW YORK	WORKERS COMP	$120
WC FED EX	WORKERS COMP	$120
WC MEIJERS	WORKERS COMP	$120
WC MITCHELL FRANKENMUTH	WORKERS COMP	$120
WC ASU RISK MGT	WORKERS COMP	$120
WC GENEX CARE FOR OHIO	WORKERS COMP	$120
WC HEALTH MANAGEMENT	WORKERS COMP	$120
WC FORD MOTOR	WORKERS COMP	$120
WC FEDERAL BLACK LUNG	WORKERS COMP	$120
RX SAIF OPDP WC	WORKERS COMP	$120
WC HIRERIGHT	WORKERS COMP	$120
WC BENETECH	WORKERS COMP	$120
WC COMPONE ADMIN	WORKERS COMP	$120
WC SMILE LODGE	WORKERS COMP	$120
WC TACONIC (MRO)	WORKERS COMP	$120
WC SRS	WORKERS COMP	$120
WC GREAT WEST CASUALTY	WORKERS COMP	$120
WC VELOCITY	WORKERS COMP	$120
WC SEDGWICK	WORKERS COMP	$120
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$120
WC TRAVELERS	WORKERS COMP	$120
WC UNITED HEARTLAND	WORKERS COMP	$120
NJM INSURANCE GROUP	WORKERS COMP	$120
WC CITY OF ALBANY	WORKERS COMP	$120
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$120
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$120
WC O'HARA CORP	WORKERS COMP	$120
WC QUIKTRIP	WORKERS COMP	$120
WC RENY COMPANY	WORKERS COMP	$120
WC EMC INSURANCE COMPANY	WORKERS COMP	$120
WC US DEPT OF LABOR	WORKERS COMP	$120
WC MEMIC	WORKERS COMP	$120
WC SOCIETY	WORKERS COMP	$120
WC ONE CALL MEDICAL	WORKERS COMP	$120
WC CT HEALTHCARE TRUST	WORKERS COMP	$120
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$120
WC MASSACHUSETTS	WORKERS COMP	$120
WC RISICO	WORKERS COMP	$120
JAG SOURCE	WORKERS COMP	$120
WC ACCIDENT FUND	WORKERS COMP	$120
WC PROCURA MANAGEMENT	WORKERS COMP	$120
WC CHUBB	WORKERS COMP	$120
WC OCC HEALTH ALLEN	WORKERS COMP	$120
WC ACE	WORKERS COMP	$120
WC AEGIS	WORKERS COMP	$120
WC AIMS	WORKERS COMP	$120
WC ADVANTAGE	WORKERS COMP	$120
WC TACONIC (MRO)	WORKERS COMP	$120
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$120
WC AM TRUST N AMERICA	WORKERS COMP	$120
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$120
WC NORTHEAST HEALTH	WORKERS COMP	$120
WC FEDERAL BLACK LUNG	WORKERS COMP	$120
WC TYSON	WORKERS COMP	$120
WC NOVANET	WORKERS COMP	$120
WC CNA	WORKERS COMP	$120
WC YORK RISK	WORKERS COMP	$120
WC PRICE CHOPPER	WORKERS COMP	$120
WC SHEAKLEY UNICOMP	WORKERS COMP	$120
RX WORKER'S COMP	WORKERS COMP	$120
WC REV CLAIMS	WORKERS COMP	$120
WC BROADSPIRE	WORKERS COMP	$120
WC NORTH AMERICAN RISHCES	WORKERS COMP	$120
WC CHARTIS	WORKERS COMP	$120
WC GUARD INSURANCE COMPANY	WORKERS COMP	$120
WC NATIONWIDE	WORKERS COMP	$120
WC ENCORE HEALTH NETWORK	WORKERS COMP	$120
WC PARADIGM	WORKERS COMP	$120
WC ALASKA NATIONAL INS	WORKERS COMP	$120
WC CITY OF SIOUX CITY	WORKERS COMP	$120
WC GUARANTEE INSURANCE	WORKERS COMP	$120
WC FCCI	WORKERS COMP	$120
WC AMERISURE	WORKERS COMP	$120
WC ZENITH	WORKERS COMP	$120
WC HORIZON	WORKERS COMP	$120
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$120
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$120
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$120
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$120
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$120
WC MRA	WORKERS COMP	$120
WC CIRMA	WORKERS COMP	$120
WC HASTINGS	WORKERS COMP	$120
WC AMTRUST	WORKERS COMP	$120
WC ZURICH	WORKERS COMP	$120
WC GENERIC	WORKERS COMP	$120
WC FRESNO UNIFIED EMP	WORKERS COMP	$120
WC CLAIMS MGMT INC	WORKERS COMP	$120
WC INTERCARE INSURANCE	WORKERS COMP	$120
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$120
WC MICHIGAN	WORKERS COMP	$120
WC ESIS	WORKERS COMP	$120
WC ERIE	WORKERS COMP	$120
WC GALLAGHER BASSETT	WORKERS COMP	$120
WC FEDERATED	WORKERS COMP	$120
WC ICW GROUP	WORKERS COMP	$120
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$120
ANDRIE INC	WORKERS COMP	$120
GENEX WC	WORKERS COMP	$120
WC SECURA	WORKERS COMP	$120
HEALTHSMART WORKERS COMP	WORKERS COMP	$120
WC LIBERTY MUTUAL	WORKERS COMP	$120
WC CCMSI	WORKERS COMP	$120
WC WEST BEND	WORKERS COMP	$120
WC IDAHO STATE INS FUND	WORKERS COMP	$120
WC QUALCARE	WORKERS COMP	$120
WC SRS	WORKERS COMP	$120
WC EVOLUTIONS	WORKERS COMP	$120
WC ACUITY	WORKERS COMP	$120
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$120
WC HAB	WORKERS COMP	$120
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$120
WC SENTRY	WORKERS COMP	$120
WC ENABLECOMP	WORKERS COMP	$120
WC JOHNS EASTERN	WORKERS COMP	$120
WC MAC RISK MANAGEMENT	WORKERS COMP	$120
WC AIG	WORKERS COMP	$120
WC SAIF OREGON	WORKERS COMP	$120
WC ALIGN NETWORK	WORKERS COMP	$120
WC ALLIED	WORKERS COMP	$120
WC MDIA	WORKERS COMP	$120
WC NOTRE DAME	WORKERS COMP	$120
WC HARTFORD	WORKERS COMP	$120
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$120
WC TACONIC FARMS	WORKERS COMP	$120
WC TRISTAR	WORKERS COMP	$120
WC MERCY WORKCARE	WORKERS COMP	$120
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$120
WC PMA	WORKERS COMP	$120
WC RURAL MUTUAL	WORKERS COMP	$120
WC BERKLEY ADMIN	WORKERS COMP	$120
WC OHIO BUREAU	WORKERS COMP	$120
WC PEERLESS	WORKERS COMP	$120
WC AETNA	WORKERS COMP	$120
WC EMPLOYEE MUTUAL	WORKERS COMP	$120
WC BUNCH & ASSOCIATES	WORKERS COMP	$120
WC WALMART	WORKERS COMP	$120
WC TROY NY	WORKERS COMP	$120
WC TRIAD GROUP	WORKERS COMP	$120
RX RESTAT	WORKERS COMP	$120
WC SMILE LODGE	WORKERS COMP	$120
WC HEALTH MANAGEMENT	WORKERS COMP	$120
WC HIRERIGHT	WORKERS COMP	$120
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$120
WC NCA COMP	WORKERS COMP	$120
WC NEW YORK	WORKERS COMP	$120
RX SAIF OPDP WC	WORKERS COMP	$120
WC MITCHELL FRANKENMUTH	WORKERS COMP	$120
WC MEADOWBROOK CLAIM	WORKERS COMP	$120
WC KEMBERTON	WORKERS COMP	$120
WC YANKEE TRAILS	WORKERS COMP	$120
WC INTERMOUNTAIN	WORKERS COMP	$120
RX HEATLHCOMP	WORKERS COMP	$120
WC BENETECH	WORKERS COMP	$120
WC COMPONE ADMIN	WORKERS COMP	$120
WC FED EX	WORKERS COMP	$120
WC GENEX CARE FOR OHIO	WORKERS COMP	$120
WC MEIJERS	WORKERS COMP	$120
WC GENERAL MOTORS	WORKERS COMP	$120
WC ASU RISK MGT	WORKERS COMP	$120
WC FORD MOTOR	WORKERS COMP	$120
MEDICAID - IL	MEDICAID	$126.93
MEDICAID - IL	MEDICAID	$126.93
MDWISE	MEDICAID	$148.34
AMERIGROUP MEDICAID	MEDICAID	$148.34
BMC HEALTHNET	MEDICAID	$148.34
ROBERT F SING PROGRAM	MEDICAID	$148.34
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$148.34
CMH MACOMB	MEDICAID	$148.34
UCARE MEDICAID	MEDICAID	$148.34
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$148.34
CMH MUSKEGON COUNTY	MEDICAID	$148.34
CMH NEWAYGO COUNTY	MEDICAID	$148.34
CMH LENAWEE COUNTY	MEDICAID	$148.34
CMH LIVINGSTON COUNTY	MEDICAID	$148.34
CMH KALAMAZOO	MEDICAID	$148.34
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$148.34
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$148.34
CARE OREGON OHP	MEDICAID	$148.34
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$148.34
INTERCOMMUNITY HEALTH OHP	MEDICAID	$148.34
HAP MEDICAID	MEDICAID	$148.34
RYAN WHITE FLORIDA MSSRP	MEDICAID	$148.34
BCCP	MEDICAID	$148.34
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$148.34
NEXTLEVEL HEALTH	MEDICAID	$148.34
HARBOR HEALTH	MEDICAID	$148.34
WASHTENAW HEALTH PLAN	MEDICAID	$148.34
MCLAREN HEALTH MEDICAID	MEDICAID	$148.34
CMH BAY-ARENAC COUNTY	MEDICAID	$148.34
CMH BERRIEN COUNTY	MEDICAID	$148.34
MEDI-CAL BLUE CROSS	MEDICAID	$148.34
PRIORITY HEALTH MEDICAID	MEDICAID	$148.34
MEDICAID PENDING	MEDICAID	$148.34
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$148.34
RX MEDICAID	MEDICAID	$148.34
CMH ALLEGAN COUNTY	MEDICAID	$148.34
CMH AUSABLE VALLEY	MEDICAID	$148.34
BCCCP-MICHIGAN	MEDICAID	$148.34
BLUE CROSS COMPLETE - MI	MEDICAID	$148.34
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$148.34
PARAMOUNT ADVANTAGE	MEDICAID	$148.34
CMH WEST MI COUNTY	MEDICAID	$148.34
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$148.34
PEACH STATE HEALTHPLAN	MEDICAID	$148.34
KEYSTONE FIRST	MEDICAID	$148.34
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$148.34
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDSTAR MD HEALTH CHOICE	MEDICAID	$148.34
CMH MISC	MEDICAID	$148.34
CMH MONROE COUNTY	MEDICAID	$148.34
CMH IONIA COUNTY	MEDICAID	$148.34
FAMILY HEALTH NETWORK	MEDICAID	$148.34
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$148.34
MERIDIAN MEDICAID	MEDICAID	$148.34
MEDI-CAL HEALTHNET	MEDICAID	$148.34
DELAWARE FIRST HEALTH	MEDICAID	$148.34
AMISH MENNONITE	MEDICAID	$148.34
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$148.34
CMH KENT COUNTY	MEDICAID	$148.34
CMH CASS COUNTY	MEDICAID	$148.34
CMH CENTRAL MI COUNTY	MEDICAID	$148.34
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$148.34
CMH GENESEE COUNTY	MEDICAID	$148.34
CMH WAYNE COUNTY/CARELINK	MEDICAID	$148.34
RX MEDI-CAL	MEDICAID	$148.34
CMH VAN BUREN COUNTY	MEDICAID	$148.34
CMH BARRY COUNTY	MEDICAID	$148.34
CMH WASHTENAW COUNTY	MEDICAID	$148.34
MO HOME STATE HEALTH PLAN	MEDICAID	$148.34
AETNA MEDICAID	MEDICAID	$148.34
HEALTHY BLUE NE	MEDICAID	$148.34
IOWA TOTAL CARE	MEDICAID	$148.34
BLUE PLUS MO MEDICAID	MEDICAID	$148.34
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$148.34
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$148.34
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$148.34
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$148.34
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$148.34
NASCENTIA HEALTH OPTIONS	MEDICAID	$148.34
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$148.34
CMH NORTHERN LAKES COUNTY	MEDICAID	$148.34
CMH OAKLAND COUNTY	MEDICAID	$148.34
CMH OTTAWA COUNTY	MEDICAID	$148.34
CMH MONTCALM COUNTY	MEDICAID	$148.34
SECURITY HEALTH MEDICAID	MEDICAID	$148.34
CARESOURCE MEDICAID	MEDICAID	$148.34
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$148.34
ICARE MEDICAID	MEDICAID	$148.34
LAKELAND CARE INC	MEDICAID	$148.34
CHILDRENS COMM HEALTH PLAN	MEDICAID	$148.34
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$148.34
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$148.34
CENTENE	MEDICAID	$148.34
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$148.34
TENNCARE	MEDICAID	$148.34
MERCYCARE MEDICAID	MEDICAID	$148.34
UNITY MEDICAID	MEDICAID	$148.34
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$148.34
WI WOMENS WELLNESS	MEDICAID	$148.34
COMMUNITY CARE MEDICAID	MEDICAID	$148.34
DEAN HEALTH MEDICAID	MEDICAID	$148.34
KEYSTONE FIRST CHIP	MEDICAID	$148.34
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$148.34
CENPATICO	MEDICAID	$148.34
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$148.34
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$148.34
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - KS	MEDICAID	$148.34
MEDICAID - HI	MEDICAID	$148.34
MEDICAID - DE	MEDICAID	$148.34
COUNTY CORONER	MEDICAID	$148.34
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$148.34
CMH NORTH COUNTRY	MEDICAID	$148.34
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$148.34
NEBRASKA TOTAL CARE	MEDICAID	$148.34
PARTNERS BEHAVIORAL LME	MEDICAID	$148.34
VAYA HEALTH LME	MEDICAID	$148.34
SANDHILLS CENTER LME	MEDICAID	$148.34
TRILOGY MEDICAID	MEDICAID	$148.34
MEDICAID - DC	MEDICAID	$148.34
MEDICAID - FL	MEDICAID	$148.34
MEDICAID - GA	MEDICAID	$148.34
MEDICAID - AZ	MEDICAID	$148.34
MEDICAID - AR	MEDICAID	$148.34
ID COUNTY OTHER	MEDICAID	$148.34
ID COUNTY CAT FUND	MEDICAID	$148.34
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$148.34
EASTPOINTE LME	MEDICAID	$148.34
MEDICAID - NV	MEDICAID	$148.34
MEDICAID - NH	MEDICAID	$148.34
MEDICAID - MN	MEDICAID	$148.34
MEDICAID - MS	MEDICAID	$148.34
MEDICAID - MO	MEDICAID	$148.34
COUNTY CARE MEDICAID	MEDICAID	$148.34
HENNEPIN HEALTH	MEDICAID	$148.34
UNITED HEALTHCARE MEDICAID	MEDICAID	$148.34
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$148.34
ID COUNTY PAYETTE	MEDICAID	$148.34
CENCAL HEALTH PLAN	MEDICAID	$148.34
INLAND EMPIRE HEALTH PLAN	MEDICAID	$148.34
KERN FAMILY HEALTH PLAN	MEDICAID	$148.34
LA CARE HEALTH PLAN	MEDICAID	$148.34
CITY OF PHILADELPHIA	MEDICAID	$148.34
STEPHENSON CTY HEALTH	MEDICAID	$148.34
CARDINAL INNOVATIONS LME	MEDICAID	$148.34
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$148.34
PRESTIGE HEALTH CHOICE	MEDICAID	$148.34
MOLINA CENTENNIAL CARE	MEDICAID	$148.34
MEDICAID - MT	MEDICAID	$148.34
MEDICAID - ME	MEDICAID	$148.34
MEDICAID - MD	MEDICAID	$148.34
MEDICAID - MA	MEDICAID	$148.34
MEDICAID - KY	MEDICAID	$148.34
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$148.34
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$148.34
WELLSENSE HEALTH PLAN	MEDICAID	$148.34
FREEDOM FIRST HEALTHCARE	MEDICAID	$148.34
DELTA DENTAL NJ	MEDICAID	$148.34
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$148.34
UPMC MEDICAID ADVANTAGE	MEDICAID	$148.34
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$148.34
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$148.34
COUNTY FUNDING GENERIC	MEDICAID	$148.34
IDAHO WOMENS HEALTH CHECK	MEDICAID	$148.34
INDIANA BREAST CERVICAL CANCER	MEDICAID	$148.34
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$148.34
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$148.34
EMBLEM HEALTH MEDICAID	MEDICAID	$148.34
FIRSTCARE MEDICAID	MEDICAID	$148.34
PRIORITY PARTNERS	MEDICAID	$148.34
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$148.34
MEDICAID - LA	MEDICAID	$148.34
MEDICAID - PA	MEDICAID	$148.34
INDEPENDENT CARE MEDICAID	MEDICAID	$148.34
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$148.34
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$148.34
SUPERIOR HEALTH	MEDICAID	$148.34
COMMUNITY BENEFIT HEALTH	MEDICAID	$148.34
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
DSCC	MEDICAID	$148.34
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$148.34
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$148.34
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$148.34
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$148.34
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$148.34
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - CO	MEDICAID	$148.34
RX MERIDIAN RX	MEDICAID	$148.34
MEDICAID SPENDDOWN	MEDICAID	$148.34
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$148.34
MEDI-CAL	MEDICAID	$148.34
FRESNO COUNTY CCS	MEDICAID	$148.34
HEALTH SAFETY NET	MEDICAID	$148.34
MVP MEDICAID ADVANTAGE	MEDICAID	$148.34
VNSNY CHOICE MEDICAID	MEDICAID	$148.34
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
CHHUNY	MEDICAID	$148.34
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - CT	MEDICAID	$148.34
MEDICAID - AL	MEDICAID	$148.34
MEDICAID - AK	MEDICAID	$148.34
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$148.34
RX 340B PASS ALONG	MEDICAID	$148.34
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$148.34
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$148.34
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - IN	MEDICAID	$148.34
PHILADELPHIA COUNTY FUNDING	MEDICAID	$148.34
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$148.34
COMMUNITY HEALTH CHOICE	MEDICAID	$148.34
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$148.34
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$148.34
HURON VALLEY PACE MEDICAID	MEDICAID	$148.34
MEDICAID - NC	MEDICAID	$148.34
MEDICAID - ND	MEDICAID	$148.34
MEDICAID - OH	MEDICAID	$148.34
MEDICAID - NJ	MEDICAID	$148.34
MEDICAID - NM	MEDICAID	$148.34
CARELON HEALTH MEDICAID	MEDICAID	$148.34
MEDICAID ADVANTAGE GENERIC	MEDICAID	$148.34
JAI MEDICAL SYSTEM	MEDICAID	$148.34
MARYLAND PHYSICIANS CARE	MEDICAID	$148.34
TRILLIUM COMMUNITY OHP	MEDICAID	$148.34
MEDICAID - IA	MEDICAID	$148.34
TOTAL HEALTH CARE MEDICAID	MEDICAID	$148.34
CONNECTIONS CSP	MEDICAID	$148.34
COMMUNITY CARE PARTNERS	MEDICAID	$148.34
MEDICAID - NY	MEDICAID	$148.34
MEDICAID - VA	MEDICAID	$148.34
MEDICAID - WA	MEDICAID	$148.34
MEDICAID - WV	MEDICAID	$148.34
MEDICAID - WI	MEDICAID	$148.34
MEDICAID - TX	MEDICAID	$148.34
MEDICAID - UT	MEDICAID	$148.34
MEDICAID - VT	MEDICAID	$148.34
MEDICAID - RI	MEDICAID	$148.34
MEDICAID - SC	MEDICAID	$148.34
MEDICAID - SD	MEDICAID	$148.34
MEDICAID - TN	MEDICAID	$148.34
MEDICAID - OK	MEDICAID	$148.34
SCREENING FOR LIFE	MEDICAID	$148.34
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$148.34
CARE WISCONSIN MEDICAID	MEDICAID	$148.34
WELLPOINT MEDICAID	MEDICAID	$148.34
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - NY SSL	MEDICAID	$148.34
DPH TB PROGRAM	MEDICAID	$148.34
MEDICAID MA QMB	MEDICAID	$148.34
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$148.34
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$148.34
OREGON SCREENWISE	MEDICAID	$148.34
HUMANA MEDICAID	HUMANA MEDICAID	$148.34
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$148.34
DEAN WI BADGERCARE	MEDICAID	$148.34
GHC SCW WI BADGERCARE	MEDICAID	$148.34
MEDICAID - WY	MEDICAID	$148.34
MEDICAID OOS NHI	MEDICAID	$148.34
BREAST GRANT-CONNECTICUT	MEDICAID	$148.34
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$148.34
CIGNA MEDICAID ADVANTAGE	MEDICAID	$148.34
ID COUNTY CANYON	MEDICAID	$148.34
ID COUNTY ADA	MEDICAID	$148.34
UCARE MEDICAID	MEDICAID	$148.34
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$148.34
HARBOR HEALTH	MEDICAID	$148.34
WASHTENAW HEALTH PLAN	MEDICAID	$148.34
MCLAREN HEALTH MEDICAID	MEDICAID	$148.34
MDWISE	MEDICAID	$148.34
HAP MEDICAID	MEDICAID	$148.34
CONNECTIONS CSP	MEDICAID	$148.34
COMMUNITY CARE PARTNERS	MEDICAID	$148.34
PHILADELPHIA COUNTY FUNDING	MEDICAID	$148.34
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$148.34
ID COUNTY PAYETTE	MEDICAID	$148.34
BCCP	MEDICAID	$148.34
CMH WEST MI COUNTY	MEDICAID	$148.34
CMH WASHTENAW COUNTY	MEDICAID	$148.34
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$148.34
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$148.34
CMH MISC	MEDICAID	$148.34
CMH MONROE COUNTY	MEDICAID	$148.34
CMH MONTCALM COUNTY	MEDICAID	$148.34
UNITY MEDICAID	MEDICAID	$148.34
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$148.34
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - MD	MEDICAID	$148.34
MEDICAID - NY SSL	MEDICAID	$148.34
DPH TB PROGRAM	MEDICAID	$148.34
MEDICAID MA QMB	MEDICAID	$148.34
KEYSTONE FIRST CHIP	MEDICAID	$148.34
ID COUNTY OTHER	MEDICAID	$148.34
PEACH STATE HEALTHPLAN	MEDICAID	$148.34
INTERCOMMUNITY HEALTH OHP	MEDICAID	$148.34
AMERIGROUP MEDICAID	MEDICAID	$148.34
BMC HEALTHNET	MEDICAID	$148.34
CMH MUSKEGON COUNTY	MEDICAID	$148.34
SECURITY HEALTH MEDICAID	MEDICAID	$148.34
CARESOURCE MEDICAID	MEDICAID	$148.34
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$148.34
CARE WISCONSIN MEDICAID	MEDICAID	$148.34
WELLPOINT MEDICAID	MEDICAID	$148.34
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - WI	MEDICAID	$148.34
MEDICAID - WY	MEDICAID	$148.34
MEDICAID OOS NHI	MEDICAID	$148.34
BREAST GRANT-CONNECTICUT	MEDICAID	$148.34
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$148.34
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$148.34
CARELON HEALTH MEDICAID	MEDICAID	$148.34
MEDICAID ADVANTAGE GENERIC	MEDICAID	$148.34
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
ID COUNTY CANYON	MEDICAID	$148.34
ID COUNTY CAT FUND	MEDICAID	$148.34
WI WOMENS WELLNESS	MEDICAID	$148.34
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$148.34
NEBRASKA TOTAL CARE	MEDICAID	$148.34
CIGNA MEDICAID ADVANTAGE	MEDICAID	$148.34
HUMANA MEDICAID	HUMANA MEDICAID	$148.34
MEDICAID - UT	MEDICAID	$148.34
MEDICAID - VT	MEDICAID	$148.34
MEDICAID - VA	MEDICAID	$148.34
MEDICAID - WA	MEDICAID	$148.34
COMMUNITY BENEFIT HEALTH	MEDICAID	$148.34
DELTA DENTAL NJ	MEDICAID	$148.34
JAI MEDICAL SYSTEM	MEDICAID	$148.34
MARYLAND PHYSICIANS CARE	MEDICAID	$148.34
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$148.34
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$148.34
MERIDIAN MEDICAID	MEDICAID	$148.34
KEYSTONE FIRST	MEDICAID	$148.34
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$148.34
AMISH MENNONITE	MEDICAID	$148.34
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$148.34
MEDSTAR MD HEALTH CHOICE	MEDICAID	$148.34
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$148.34
CMH NEWAYGO COUNTY	MEDICAID	$148.34
CMH NORTHERN LAKES COUNTY	MEDICAID	$148.34
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$148.34
DEAN WI BADGERCARE	MEDICAID	$148.34
GHC SCW WI BADGERCARE	MEDICAID	$148.34
CHHUNY	MEDICAID	$148.34
INDEPENDENT CARE MEDICAID	MEDICAID	$148.34
MEDICAID - IA	MEDICAID	$148.34
MEDICAID - KS	MEDICAID	$148.34
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
RX 340B PASS ALONG	MEDICAID	$148.34
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$148.34
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$148.34
CARE OREGON OHP	MEDICAID	$148.34
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$148.34
MO HOME STATE HEALTH PLAN	MEDICAID	$148.34
AETNA MEDICAID	MEDICAID	$148.34
HEALTHY BLUE NE	MEDICAID	$148.34
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$148.34
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$148.34
CMH IONIA COUNTY	MEDICAID	$148.34
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$148.34
CMH KENT COUNTY	MEDICAID	$148.34
CMH LENAWEE COUNTY	MEDICAID	$148.34
CMH LIVINGSTON COUNTY	MEDICAID	$148.34
CMH BAY-ARENAC COUNTY	MEDICAID	$148.34
EMBLEM HEALTH MEDICAID	MEDICAID	$148.34
COMMUNITY HEALTH CHOICE	MEDICAID	$148.34
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$148.34
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
RX MERIDIAN RX	MEDICAID	$148.34
MEDICAID - GA	MEDICAID	$148.34
MEDICAID - HI	MEDICAID	$148.34
MEDICAID PENDING	MEDICAID	$148.34
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$148.34
FAMILY HEALTH NETWORK	MEDICAID	$148.34
IOWA TOTAL CARE	MEDICAID	$148.34
CMH BERRIEN COUNTY	MEDICAID	$148.34
CMH CASS COUNTY	MEDICAID	$148.34
CMH CENTRAL MI COUNTY	MEDICAID	$148.34
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$148.34
CMH GENESEE COUNTY	MEDICAID	$148.34
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$148.34
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$148.34
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$148.34
FIRSTCARE MEDICAID	MEDICAID	$148.34
PRIORITY PARTNERS	MEDICAID	$148.34
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$148.34
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - WV	MEDICAID	$148.34
MEDICAID - PA	MEDICAID	$148.34
MEDICAID - RI	MEDICAID	$148.34
MEDICAID - IN	MEDICAID	$148.34
MEDICAID - AR	MEDICAID	$148.34
MEDICAID - CO	MEDICAID	$148.34
NASCENTIA HEALTH OPTIONS	MEDICAID	$148.34
STEPHENSON CTY HEALTH	MEDICAID	$148.34
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$148.34
CMH MACOMB	MEDICAID	$148.34
EASTPOINTE LME	MEDICAID	$148.34
CARDINAL INNOVATIONS LME	MEDICAID	$148.34
PARTNERS BEHAVIORAL LME	MEDICAID	$148.34
VAYA HEALTH LME	MEDICAID	$148.34
SANDHILLS CENTER LME	MEDICAID	$148.34
TENNCARE	MEDICAID	$148.34
MEDICAID - TX	MEDICAID	$148.34
MEDICAID - NY	MEDICAID	$148.34
MEDICAID - NC	MEDICAID	$148.34
MEDICAID - SC	MEDICAID	$148.34
MEDICAID - SD	MEDICAID	$148.34
MEDICAID - TN	MEDICAID	$148.34
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$148.34
SUPERIOR HEALTH	MEDICAID	$148.34
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$148.34
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$148.34
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$148.34
WELLSENSE HEALTH PLAN	MEDICAID	$148.34
FREEDOM FIRST HEALTHCARE	MEDICAID	$148.34
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$148.34
LA CARE HEALTH PLAN	MEDICAID	$148.34
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$148.34
CITY OF PHILADELPHIA	MEDICAID	$148.34
COUNTY FUNDING GENERIC	MEDICAID	$148.34
CENCAL HEALTH PLAN	MEDICAID	$148.34
INLAND EMPIRE HEALTH PLAN	MEDICAID	$148.34
DELAWARE FIRST HEALTH	MEDICAID	$148.34
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$148.34
ROBERT F SING PROGRAM	MEDICAID	$148.34
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$148.34
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$148.34
PRESTIGE HEALTH CHOICE	MEDICAID	$148.34
MOLINA CENTENNIAL CARE	MEDICAID	$148.34
MERCYCARE MEDICAID	MEDICAID	$148.34
MEDICAID - ND	MEDICAID	$148.34
MEDICAID - OH	MEDICAID	$148.34
MEDICAID - OK	MEDICAID	$148.34
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$148.34
TRILOGY MEDICAID	MEDICAID	$148.34
COUNTY CARE MEDICAID	MEDICAID	$148.34
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$148.34
MEDICAID - AL	MEDICAID	$148.34
MEDICAID - AK	MEDICAID	$148.34
MEDICAID - AZ	MEDICAID	$148.34
KERN FAMILY HEALTH PLAN	MEDICAID	$148.34
CMH NORTH COUNTRY	MEDICAID	$148.34
MEDICAID SPENDDOWN	MEDICAID	$148.34
BLUE PLUS MO MEDICAID	MEDICAID	$148.34
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$148.34
UPMC MEDICAID ADVANTAGE	MEDICAID	$148.34
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$148.34
CENTENE	MEDICAID	$148.34
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$148.34
MEDICAID - CT	MEDICAID	$148.34
MEDICAID - DE	MEDICAID	$148.34
MEDICAID - DC	MEDICAID	$148.34
MEDICAID - FL	MEDICAID	$148.34
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$148.34
RX MEDICAID	MEDICAID	$148.34
MEDI-CAL BLUE CROSS	MEDICAID	$148.34
MEDI-CAL	MEDICAID	$148.34
FRESNO COUNTY CCS	MEDICAID	$148.34
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$148.34
MEDI-CAL HEALTHNET	MEDICAID	$148.34
CMH ALLEGAN COUNTY	MEDICAID	$148.34
CMH AUSABLE VALLEY	MEDICAID	$148.34
CMH BARRY COUNTY	MEDICAID	$148.34
CMH WAYNE COUNTY/CARELINK	MEDICAID	$148.34
HEALTH SAFETY NET	MEDICAID	$148.34
IDAHO WOMENS HEALTH CHECK	MEDICAID	$148.34
INDIANA BREAST CERVICAL CANCER	MEDICAID	$148.34
PRIORITY HEALTH MEDICAID	MEDICAID	$148.34
MVP MEDICAID ADVANTAGE	MEDICAID	$148.34
MEDICAID - NV	MEDICAID	$148.34
MEDICAID - NH	MEDICAID	$148.34
MEDICAID - NJ	MEDICAID	$148.34
MEDICAID - NM	MEDICAID	$148.34
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$148.34
ICARE MEDICAID	MEDICAID	$148.34
LAKELAND CARE INC	MEDICAID	$148.34
HENNEPIN HEALTH	MEDICAID	$148.34
BCCCP-MICHIGAN	MEDICAID	$148.34
RX MEDI-CAL	MEDICAID	$148.34
VNSNY CHOICE MEDICAID	MEDICAID	$148.34
MEDICAID - MA	MEDICAID	$148.34
MEDICAID - MN	MEDICAID	$148.34
MEDICAID - MS	MEDICAID	$148.34
MEDICAID - MO	MEDICAID	$148.34
MEDICAID - MT	MEDICAID	$148.34
UNITED HEALTHCARE MEDICAID	MEDICAID	$148.34
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$148.34
CENPATICO	MEDICAID	$148.34
CHILDRENS COMM HEALTH PLAN	MEDICAID	$148.34
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$148.34
COMMUNITY CARE MEDICAID	MEDICAID	$148.34
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$148.34
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$148.34
COUNTY CORONER	MEDICAID	$148.34
ID COUNTY ADA	MEDICAID	$148.34
NEXTLEVEL HEALTH	MEDICAID	$148.34
BLUE CROSS COMPLETE - MI	MEDICAID	$148.34
CMH KALAMAZOO	MEDICAID	$148.34
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$148.34
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$148.34
RYAN WHITE FLORIDA MSSRP	MEDICAID	$148.34
HURON VALLEY PACE MEDICAID	MEDICAID	$148.34
MEDICAID - KY	MEDICAID	$148.34
MEDICAID - LA	MEDICAID	$148.34
MEDICAID - ME	MEDICAID	$148.34
SCREENING FOR LIFE	MEDICAID	$148.34
DEAN HEALTH MEDICAID	MEDICAID	$148.34
OREGON SCREENWISE	MEDICAID	$148.34
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$148.34
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$148.34
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$148.34
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$148.34
TRILLIUM COMMUNITY OHP	MEDICAID	$148.34
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$148.34
DSCC	MEDICAID	$148.34
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$148.34
TOTAL HEALTH CARE MEDICAID	MEDICAID	$148.34
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$148.34
PARAMOUNT ADVANTAGE	MEDICAID	$148.34
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$148.34
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$148.34
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$148.34
CMH OAKLAND COUNTY	MEDICAID	$148.34
CMH OTTAWA COUNTY	MEDICAID	$148.34
CMH VAN BUREN COUNTY	MEDICAID	$148.34
MEDICAID - ID	MEDICAID	$150.32
MEDICAID - ID	MEDICAID	$150.32
MEDICAID - OR	MEDICAID	$155.62
MEDICAID - OR	MEDICAID	$155.62
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$155.76
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$155.76
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$155.76
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$155.76
MOLINA MEDICAID	MOLINA MEDICAID	$163.17
MOLINA MEDICAID	MOLINA MEDICAID	$163.17
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$167.27
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$167.27
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$177.11
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$177.11
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$177.11
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$177.11
TRICARE WEST HEALTHNET	TRICARE	$181.82
TRICARE EAST HUMANA	TRICARE	$181.82
TRIWEST HEALTH ALLIANCE	TRICARE	$181.82
TRICARE	TRICARE	$181.82
US FAMILY HEALTH PLAN	TRICARE	$181.82
CHAMPVA	TRICARE	$181.82
VETERANS EVAL SERVICES	TRICARE	$181.82
US FAMILY HEALTH PLAN	TRICARE	$181.82
CHAMPVA	TRICARE	$181.82
TRICARE	TRICARE	$181.82
TRICARE WEST HEALTHNET	TRICARE	$181.82
TRIWEST HEALTH ALLIANCE	TRICARE	$181.82
TRICARE EAST HUMANA	TRICARE	$181.82
VETERANS EVAL SERVICES	TRICARE	$181.82
MULTIPLAN	BEECH STREET	$182.70
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$188.75
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$188.75
MICHIGAN COMPLETE HEALTH	MEDICARE	$196.78
DEAN HEALTH MEDICARE SELECT	MEDICARE	$196.78
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$196.78
HARVARD PILGRIM MEDICARE	MEDICARE	$196.78
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$196.78
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$196.78
CCA SENIOR CARE OPTIONS	MEDICARE	$196.78
CLOVER HEALTH	MEDICARE	$196.78
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$196.78
GEORGIA HEALTH ADVANTAGE	MEDICARE	$196.78
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
EVERCARE	MEDICARE	$196.78
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$196.78
HUMANA MEDICARE TRANSPLANT	MEDICARE	$196.78
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$196.78
CARE DIMENSIONS	MEDICARE	$196.78
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$196.78
TRIBUTE HEALTH PLANS	MEDICARE	$196.78
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$196.78
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$196.78
PRESBYTERIAN SENIOR PLAN	MEDICARE	$196.78
SECURE HORIZONS MA PFFS	MEDICARE	$196.78
HOPE SELECT PACE	MEDICARE	$196.78
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
MVP MEDICARE ADVANTAGE	MEDICARE	$196.78
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$196.78
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$196.78
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$196.78
MEDICARE ADVANTAGE GENERIC	MEDICARE	$196.78
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$196.78
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$196.78
AETNA MEDICARE TRANSPLANT	MEDICARE	$196.78
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$196.78
ICARE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$196.78
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$196.78
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
TEXAN PLUS	MEDICARE	$196.78
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$196.78
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$196.78
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$196.78
MEDIPAK ADVANTAGE	MEDICARE	$196.78
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$196.78
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
OPTUM MEDICARE TRANSPLANT	MEDICARE	$196.78
ESSENCE MEDICARE HMO	MEDICARE	$196.78
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$196.78
LONGEVITY HEALTH PLAN	MEDICARE	$196.78
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$196.78
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$196.78
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$196.78
ELEMENTCARE	MEDICARE	$196.78
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$196.78
MOLINA MEDICARE ADVANTAGE	MEDICARE	$196.78
MI HEALTHLINK MEDICARE	MEDICARE	$196.78
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$196.78
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$196.78
HORIZON NJ TOTAL CARE	MEDICARE	$196.78
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$196.78
RX MEDICARE PART B	MEDICARE	$196.78
RX ALLWIN	MEDICARE	$196.78
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
OSU PRIME CARE ADVANTAGE	MEDICARE	$196.78
THE HEALTH PLAN	MEDICARE	$196.78
CARESOURCE MEDICARE	MEDICARE	$196.78
MEDICAL MUTUAL MEDICARE	MEDICARE	$196.78
HAP MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$196.78
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$196.78
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$196.78
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICA MEDICARE ADVANTAGE	MEDICARE	$196.78
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$196.78
EDDY SENIOR CARE-PACE	MEDICARE	$196.78
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$196.78
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$196.78
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$196.78
THOME PACE	MEDICARE	$196.78
UCARE MEDICARE	MEDICARE	$196.78
PEAK PACE SOLUTIONS	MEDICARE	$196.78
AMERIHEALTH MEDICARE	MEDICARE	$196.78
MEDICARE	MEDICARE	$196.78
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$196.78
MERIDIAN COMPLETE	MEDICARE	$196.78
CARE WISCONSIN MEDICARE	MEDICARE	$196.78
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$196.78
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$196.78
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$196.78
GOLD ADVANTAGE	MEDICARE	$196.78
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$196.78
NETWORK MEDICARE ADVANTAGE	MEDICARE	$196.78
SECURITY HEALTH MEDICARE	MEDICARE	$196.78
UNICARE MEDICARE ADVANTAGE	MEDICARE	$196.78
EDDY SENIORCARE PACE	MEDICARE	$196.78
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$196.78
RX MEDICARE	MEDICARE	$196.78
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
OSCAR MEDICARE ADVANTAGE	MEDICARE	$196.78
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$196.78
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$196.78
LIFE ST MARYS PACE	MEDICARE	$196.78
ALIGN SENIOR CARE	MEDICARE	$196.78
CARE RESOURCES PACE	MEDICARE	$196.78
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
UM HEALTH ADVANTAGE	MEDICARE	$196.78
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$196.78
EVERENCE	MEDICARE	$196.78
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$196.78
CLEAR SPRING HEALTH	MEDICARE	$196.78
MOLINA MEDICARE ADVANTAGE	MEDICARE	$196.78
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$196.78
AURORA SPECIAL NEEDS	MEDICARE	$196.78
WELLMED	MEDICARE	$196.78
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$196.78
CARE IMPROVEMENT PLUS	MEDICARE	$196.78
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$196.78
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$196.78
PERENNIAL ADVANTAGE	MEDICARE	$196.78
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$196.78
HUDSON HEADWATERS PACE	MEDICARE	$196.78
AMERICAN HEALTH PLAN	MEDICARE	$196.78
IOWA HEALTH ADVANTAGE	MEDICARE	$196.78
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
UPMC MEDICARE ADVANTAGE	MEDICARE	$196.78
FRESNO PACE MEDICARE	MEDICARE	$196.78
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$196.78
PHP MEDICARE	MEDICARE	$196.78
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
ANTHEM MYCARE OHIO	MEDICARE	$196.78
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$196.78
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$196.78
MEDICARE PUERTO RICO	MEDICARE	$196.78
TODAYS OPTIONS	MEDICARE	$196.78
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
GATEWAY HEALTH PLAN	MEDICARE	$196.78
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$196.78
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICARE ALTERNATE PAYOR	MEDICARE	$196.78
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$196.78
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$196.78
RX ALLWIN	MEDICARE	$196.78
TUFTS MEDICARE ADVANTAGE	MEDICARE	$196.78
LASSO HEALTHCARE MSA	MEDICARE	$196.78
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$196.78
LIFECIRCLES PACE	MEDICARE	$196.78
COMMONWEALTH CARE ALLIANCE	MEDICARE	$196.78
RX RETIREE RX CARE	MEDICARE	$196.78
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$196.78
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$196.78
PRUITTHEALTH PREMIER	MEDICARE	$196.78
VNSNY CHOICE MEDICARE	MEDICARE	$196.78
UNION HEALTH SERVICE	MEDICARE	$196.78
MERCYONE CEDAR VALLEY	MEDICARE	$196.78
CCA - ZING HEALTH	MEDICARE	$196.78
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$196.78
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$196.78
CONNECTICARE VIP MEDICARE	MEDICARE	$196.78
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$196.78
HURON VALLEY PACE	MEDICARE	$196.78
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
NASCENTIA HEALTH PLUS	MEDICARE	$196.78
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$196.78
RX GRANE GRNMEDD	MEDICARE	$196.78
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$196.78
PACE SOUTHEAST	MEDICARE	$196.78
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$196.78
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$196.78
COMMUNITY PACE AT HOME	MEDICARE	$196.78
RX CARELONRX MEDICARE	MEDICARE	$196.78
SIOUXLAND PACE	MEDICARE	$196.78
MERCY LIFE	MEDICARE	$196.78
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$196.78
PACE CNY	MEDICARE	$196.78
PACE-TRINITY HEALTH	MEDICARE	$196.78
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$196.78
UNIVERSAL MEDICARE	MEDICARE	$196.78
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$196.78
FIDELIS MEDICARE	MEDICARE	$196.78
GPA CROELL REDI MIX	MEDICARE	$196.78
SERENITY PACE	MEDICARE	$196.78
HEALTH AMERICA ADVANTRA	MEDICARE	$196.78
PROMINENCE MEDICARE	MEDICARE	$196.78
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$196.78
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$196.78
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$196.78
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$196.78
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$196.78
WELBE HEALTH	MEDICARE	$196.78
ALLY ALIGN CARE ADV	MEDICARE	$196.78
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$196.78
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$196.78
TEXAN PLUS	MEDICARE	$196.78
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
MVP MEDICARE ADVANTAGE	MEDICARE	$196.78
CCA SENIOR CARE OPTIONS	MEDICARE	$196.78
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$196.78
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$196.78
EVERENCE	MEDICARE	$196.78
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$196.78
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
CARESOURCE MEDICARE	MEDICARE	$196.78
MEDICAL MUTUAL MEDICARE	MEDICARE	$196.78
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
GATEWAY HEALTH PLAN	MEDICARE	$196.78
PRUITTHEALTH PREMIER	MEDICARE	$196.78
WELBE HEALTH	MEDICARE	$196.78
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$196.78
EDDY SENIOR CARE-PACE	MEDICARE	$196.78
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$196.78
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$196.78
MEDIPAK ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$196.78
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$196.78
MOLINA MEDICARE ADVANTAGE	MEDICARE	$196.78
CLOVER HEALTH	MEDICARE	$196.78
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$196.78
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$196.78
ANTHEM MYCARE OHIO	MEDICARE	$196.78
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$196.78
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
OPTUM MEDICARE TRANSPLANT	MEDICARE	$196.78
ESSENCE MEDICARE HMO	MEDICARE	$196.78
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$196.78
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$196.78
MI HEALTHLINK MEDICARE	MEDICARE	$196.78
CARE DIMENSIONS	MEDICARE	$196.78
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$196.78
ELEMENTCARE	MEDICARE	$196.78
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$196.78
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$196.78
PERENNIAL ADVANTAGE	MEDICARE	$196.78
DEAN HEALTH MEDICARE SELECT	MEDICARE	$196.78
CLEAR SPRING HEALTH	MEDICARE	$196.78
ICARE MEDICARE ADVANTAGE	MEDICARE	$196.78
COMMONWEALTH CARE ALLIANCE	MEDICARE	$196.78
RX RETIREE RX CARE	MEDICARE	$196.78
UNION HEALTH SERVICE	MEDICARE	$196.78
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICARE	MEDICARE	$196.78
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$196.78
GOLD ADVANTAGE	MEDICARE	$196.78
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
GEORGIA HEALTH ADVANTAGE	MEDICARE	$196.78
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$196.78
TRIBUTE HEALTH PLANS	MEDICARE	$196.78
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$196.78
PROMINENCE MEDICARE	MEDICARE	$196.78
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$196.78
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$196.78
LASSO HEALTHCARE MSA	MEDICARE	$196.78
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
MERCYONE CEDAR VALLEY	MEDICARE	$196.78
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$196.78
HURON VALLEY PACE	MEDICARE	$196.78
MICHIGAN COMPLETE HEALTH	MEDICARE	$196.78
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$196.78
NETWORK MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$196.78
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$196.78
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$196.78
HUMANA MEDICARE TRANSPLANT	MEDICARE	$196.78
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$196.78
AETNA MEDICARE TRANSPLANT	MEDICARE	$196.78
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$196.78
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$196.78
LONGEVITY HEALTH PLAN	MEDICARE	$196.78
HUDSON HEADWATERS PACE	MEDICARE	$196.78
AMERICAN HEALTH PLAN	MEDICARE	$196.78
IOWA HEALTH ADVANTAGE	MEDICARE	$196.78
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$196.78
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$196.78
TODAYS OPTIONS	MEDICARE	$196.78
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$196.78
CCA - ZING HEALTH	MEDICARE	$196.78
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$196.78
LIFECIRCLES PACE	MEDICARE	$196.78
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$196.78
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$196.78
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$196.78
PACE CNY	MEDICARE	$196.78
UNICARE MEDICARE ADVANTAGE	MEDICARE	$196.78
MOLINA MEDICARE ADVANTAGE	MEDICARE	$196.78
SECURITY HEALTH MEDICARE	MEDICARE	$196.78
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$196.78
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$196.78
MEDICARE ALTERNATE PAYOR	MEDICARE	$196.78
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
UPMC MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
CONNECTICARE VIP MEDICARE	MEDICARE	$196.78
MEDICARE PUERTO RICO	MEDICARE	$196.78
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
RX MEDICARE	MEDICARE	$196.78
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
CARE RESOURCES PACE	MEDICARE	$196.78
EDDY SENIORCARE PACE	MEDICARE	$196.78
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$196.78
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$196.78
UCARE MEDICARE	MEDICARE	$196.78
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$196.78
UNIVERSAL MEDICARE	MEDICARE	$196.78
NASCENTIA HEALTH PLUS	MEDICARE	$196.78
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
TUFTS MEDICARE ADVANTAGE	MEDICARE	$196.78
GPA CROELL REDI MIX	MEDICARE	$196.78
EVERCARE	MEDICARE	$196.78
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$196.78
MEDICA MEDICARE ADVANTAGE	MEDICARE	$196.78
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$196.78
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
UM HEALTH ADVANTAGE	MEDICARE	$196.78
AMERIHEALTH MEDICARE	MEDICARE	$196.78
FIDELIS MEDICARE	MEDICARE	$196.78
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$196.78
THOME PACE	MEDICARE	$196.78
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$196.78
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$196.78
AURORA SPECIAL NEEDS	MEDICARE	$196.78
LIFE ST MARYS PACE	MEDICARE	$196.78
ALIGN SENIOR CARE	MEDICARE	$196.78
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$196.78
HORIZON NJ TOTAL CARE	MEDICARE	$196.78
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$196.78
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$196.78
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$196.78
ALLY ALIGN CARE ADV	MEDICARE	$196.78
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$196.78
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$196.78
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$196.78
MEDICARE ADVANTAGE GENERIC	MEDICARE	$196.78
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$196.78
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$196.78
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$196.78
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$196.78
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$196.78
VNSNY CHOICE MEDICARE	MEDICARE	$196.78
RX ALLWIN	MEDICARE	$196.78
RX MEDICARE PART B	MEDICARE	$196.78
RX ALLWIN	MEDICARE	$196.78
PHP MEDICARE	MEDICARE	$196.78
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$196.78
FRESNO PACE MEDICARE	MEDICARE	$196.78
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
OSCAR MEDICARE ADVANTAGE	MEDICARE	$196.78
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$196.78
MERIDIAN COMPLETE	MEDICARE	$196.78
HAP MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$196.78
PACE-TRINITY HEALTH	MEDICARE	$196.78
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$196.78
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$196.78
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$196.78
SERENITY PACE	MEDICARE	$196.78
SIOUXLAND PACE	MEDICARE	$196.78
MERCY LIFE	MEDICARE	$196.78
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$196.78
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$196.78
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$196.78
WELLMED	MEDICARE	$196.78
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$196.78
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$196.78
CARE WISCONSIN MEDICARE	MEDICARE	$196.78
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$196.78
OSU PRIME CARE ADVANTAGE	MEDICARE	$196.78
THE HEALTH PLAN	MEDICARE	$196.78
PEAK PACE SOLUTIONS	MEDICARE	$196.78
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$196.78
RX CARELONRX MEDICARE	MEDICARE	$196.78
HEALTH AMERICA ADVANTRA	MEDICARE	$196.78
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$196.78
PACE SOUTHEAST	MEDICARE	$196.78
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$196.78
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$196.78
CARE IMPROVEMENT PLUS	MEDICARE	$196.78
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$196.78
PRESBYTERIAN SENIOR PLAN	MEDICARE	$196.78
HOPE SELECT PACE	MEDICARE	$196.78
SECURE HORIZONS MA PFFS	MEDICARE	$196.78
HARVARD PILGRIM MEDICARE	MEDICARE	$196.78
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$196.78
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$196.78
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$196.78
RX GRANE GRNMEDD	MEDICARE	$196.78
COMMUNITY PACE AT HOME	MEDICARE	$196.78
BCBS GENERIC	BCBS PPO TRAD	$198.36
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - WY	BCBS PPO TRAD	$198.36
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$198.36
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$198.36
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$198.36
BLUE CROSS - IL	BCBS PPO TRAD	$198.36
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - MN	BCBS PPO TRAD	$198.36
BLUE CARE NETWORK	BCBS PPO TRAD	$198.36
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - FL	BCBS NETWORK BLUE	$198.36
BLUE CROSS - FL	BCBS PPO TRAD	$198.36
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$198.36
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$198.36
BLUE CROSS - AR	BCBS PPO TRAD	$198.36
BLUE CROSS - NE	BCBS PPO TRAD	$198.36
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE SHIELD - CA	BCBS PPO TRAD	$198.36
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$198.36
BLUE CROSS - AZ	BCBS PPO TRAD	$198.36
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - AL	BCBS PPO TRAD	$198.36
BLUE CROSS - KS	BCBS PPO TRAD	$198.36
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - ND	BCBS PPO TRAD	$198.36
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$198.36
BLUE CROSS - MI	BCBS PPO TRAD	$198.36
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$198.36
BLUE CROSS - MA	BCBS PPO TRAD	$198.36
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - LA	BCBS PPO TRAD	$198.36
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - HI	BCBS PPO TRAD	$198.36
BLUE CROSS - ID	BCBS PPO TRAD	$198.36
KAISER DOMESTIC	BCBS PPO TRAD	$198.36
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$198.36
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$198.36
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$198.36
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - SC	BCBS PPO TRAD	$198.36
BLUE CROSS - TN	BCBS PPO TRAD	$198.36
BLUE CROSS - TX	BCBS PPO TRAD	$198.36
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$198.36
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - NC	BCBS PPO TRAD	$198.36
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$198.36
BLUE CROSS - NM	BCBS PPO TRAD	$198.36
BLUE CROSS - MS	BCBS PPO TRAD	$198.36
BLUE CROSS - MT	BCBS PPO TRAD	$198.36
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - VT	BCBS PPO TRAD	$198.36
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - RI	BCBS PPO TRAD	$198.36
BLUE CROSS - OK	BCBS PPO TRAD	$198.36
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$198.36
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$198.36
HEALTH CHOICES	BCBS PPO TRAD	$198.36
BCN DOMESTIC	BCBS PPO TRAD	$198.36
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$198.36
PRE-EMPLOYMENT	BCBS PPO TRAD	$198.36
WC DOMESTIC	BCBS PPO TRAD	$198.36
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - LA	BCBS PPO TRAD	$198.36
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$198.36
PRE-EMPLOYMENT	BCBS PPO TRAD	$198.36
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$198.36
BLUE CROSS - FL	BCBS NETWORK BLUE	$198.36
BLUE CROSS - FL	BCBS PPO TRAD	$198.36
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - HI	BCBS PPO TRAD	$198.36
BLUE CROSS - ID	BCBS PPO TRAD	$198.36
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$198.36
BLUE CROSS - AZ	BCBS PPO TRAD	$198.36
BLUE CROSS - AR	BCBS PPO TRAD	$198.36
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE SHIELD - CA	BCBS PPO TRAD	$198.36
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - NE	BCBS PPO TRAD	$198.36
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - VT	BCBS PPO TRAD	$198.36
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$198.36
HEALTH CHOICES	BCBS PPO TRAD	$198.36
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - RI	BCBS PPO TRAD	$198.36
BLUE CROSS - SC	BCBS PPO TRAD	$198.36
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$198.36
BLUE CROSS - NC	BCBS PPO TRAD	$198.36
BLUE CROSS - OK	BCBS PPO TRAD	$198.36
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$198.36
BLUE CROSS - NM	BCBS PPO TRAD	$198.36
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$198.36
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$198.36
BLUE CROSS - MA	BCBS PPO TRAD	$198.36
BLUE CROSS - MS	BCBS PPO TRAD	$198.36
BLUE CROSS - MT	BCBS PPO TRAD	$198.36
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$198.36
KAISER DOMESTIC	BCBS PPO TRAD	$198.36
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$198.36
BCBS GENERIC	BCBS PPO TRAD	$198.36
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$198.36
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$198.36
BCN DOMESTIC	BCBS PPO TRAD	$198.36
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - AL	BCBS PPO TRAD	$198.36
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$198.36
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$198.36
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - WY	BCBS PPO TRAD	$198.36
BLUE CROSS - TN	BCBS PPO TRAD	$198.36
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$198.36
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$198.36
BLUE CROSS - MI	BCBS PPO TRAD	$198.36
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - KS	BCBS PPO TRAD	$198.36
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - ND	BCBS PPO TRAD	$198.36
BLUE CROSS - TX	BCBS PPO TRAD	$198.36
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$198.36
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$198.36
BLUE CROSS - IL	BCBS PPO TRAD	$198.36
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$198.36
BLUE CROSS - MN	BCBS PPO TRAD	$198.36
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$198.36
BLUE CARE NETWORK	BCBS PPO TRAD	$198.36
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$198.36
WC DOMESTIC	BCBS PPO TRAD	$198.36
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$200.80
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$200.80
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$200.80
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$200.80
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$204.82
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$204.82
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$206.62
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$206.62
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$206.62
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$206.62
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$206.62
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$206.62
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$208.80
AXIS SERVICES	INTERNATIONAL	$208.80
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$208.80
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$208.80
SANUS HEALTHCARE	INTERNATIONAL	$208.80
STAR HEALTHCARE NETWORK	INTERNATIONAL	$208.80
SELECTCARE WORLDWIDE	INTERNATIONAL	$208.80
SUNMED INTERNATIONAL	INTERNATIONAL	$208.80
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$208.80
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$208.80
GLOBAL BENEFITS GROUP	INTERNATIONAL	$208.80
PENFIELD CARE	INTERNATIONAL	$208.80
AXA ASSISTANCE US	INTERNATIONAL	$208.80
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$208.80
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$208.80
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$210.84
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$210.84
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$240.96
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$240.96
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$250.33
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$250.33
HUMANA	HUMANA	$252.61
HUMANA	HUMANA	$252.61
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$253.17
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$253.17
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$255.25
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$255.25
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$255.25
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$255.25
GEHA	UNITED HEALTHCARE	$255.69
UNITED HEALTHCARE	UNITED HEALTHCARE	$255.69
UNITED HEALTHCARE	UHC OPTIONS PPO	$255.69
GEHA	UNITED HEALTHCARE	$255.69
UNITED HEALTHCARE	UNITED HEALTHCARE	$255.69
UNITED HEALTHCARE	UHC OPTIONS PPO	$255.69
MEDICAID - NE	MEDICAID	$261
OSCAR	OSCAR	$261.04
OSCAR	OSCAR	$261.04
AVMED HEALTH PLAN	AVMED SELECT	$267.92
AVMED HEALTH PLAN	AVMED MARKETPLACE	$267.92
AVMED HEALTH PLAN	AVMED SELECT	$267.92
AVMED HEALTH PLAN	AVMED MARKETPLACE	$267.92
AMBETTER	AMBETTER	$272.56
AMBETTER	AMBETTER	$272.56
AVMED HEALTH PLAN	AVMED	$276.85
AVMED HEALTH PLAN	AVMED	$276.85
CENTIVO	CENTIVO	$281.12
CURATIVE	CURATIVE FL	$281.12
CENTIVO	CENTIVO	$281.12
CURATIVE	CURATIVE FL	$281.12
CIGNA	CIGNA SUREFIT	$293.72
CIGNA	CIGNA SUREFIT	$293.72
MULTIPLAN	MULTIPLAN	$301.20
PHCS	PHCS	$301.20
MULTIPLAN	MULTIPLAN	$301.20
PHCS	PHCS	$301.20
UPMC HEALTH PLAN	CIGNA	$326.35
CIGNA	CIGNA	$326.35
CIGNA	CIGNA	$326.35
UPMC HEALTH PLAN	CIGNA	$326.35
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$328.70
WC CORVEL	WC CORVEL	$328.70
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$328.70
WC CORVEL	WC CORVEL	$328.70
FIRST HEALTH	AETNA	$334.64
AETNA DOMESTIC	AETNA	$334.64
AETNA	AETNA	$334.64
AETNA	AETNA GLOBAL	$334.64
COVENTRY	AETNA	$334.64
MERITAIN	AETNA	$334.64
FIRST HEALTH	AETNA	$334.64
MERITAIN	AETNA	$334.64
AETNA DOMESTIC	AETNA	$334.64
COVENTRY	AETNA	$334.64
AETNA	AETNA	$334.64
AETNA	AETNA GLOBAL	$334.64
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$335.62
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$335.62
WC ENABLECOMP	WORKERS COMP	$346
WC SECURA	WORKERS COMP	$346
WC PARADIGM	WORKERS COMP	$346
WC AIMS	WORKERS COMP	$346
WC ADVANTAGE	WORKERS COMP	$346
WC AM TRUST N AMERICA	WORKERS COMP	$346
WC YORK RISK	WORKERS COMP	$346
WC O'HARA CORP	WORKERS COMP	$346
WC ALASKA NATIONAL INS	WORKERS COMP	$346
WC WALMART	WORKERS COMP	$346
WC REV CLAIMS	WORKERS COMP	$346
WC SAIF OREGON	WORKERS COMP	$346
WC AETNA	WORKERS COMP	$346
WC KEMBERTON	WORKERS COMP	$346
WC QUIKTRIP	WORKERS COMP	$346
WC RENY COMPANY	WORKERS COMP	$346
WC CCMSI	WORKERS COMP	$346
WC INTERMOUNTAIN	WORKERS COMP	$346
NJM INSURANCE GROUP	WORKERS COMP	$346
RX HEATLHCOMP	WORKERS COMP	$346
WC TACONIC FARMS	WORKERS COMP	$346
WC TROY NY	WORKERS COMP	$346
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$346
WC MRA	WORKERS COMP	$346
WC CIRMA	WORKERS COMP	$346
WC WEST BEND	WORKERS COMP	$346
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$346
WC CT HEALTHCARE TRUST	WORKERS COMP	$346
WC TRIAD GROUP	WORKERS COMP	$346
WC YANKEE TRAILS	WORKERS COMP	$346
WC ESIS	WORKERS COMP	$346
WC OCC HEALTH ALLEN	WORKERS COMP	$346
WC HASTINGS	WORKERS COMP	$346
WC LIBERTY MUTUAL	WORKERS COMP	$346
WC AIG	WORKERS COMP	$346
WC ALIGN NETWORK	WORKERS COMP	$346
HEALTHSMART WORKERS COMP	WORKERS COMP	$346
WC ERIE	WORKERS COMP	$346
WC FEDERATED	WORKERS COMP	$346
WC GALLAGHER BASSETT	WORKERS COMP	$346
WC PMA	WORKERS COMP	$346
WC PEERLESS	WORKERS COMP	$346
WC SEDGWICK	WORKERS COMP	$346
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$346
WC MEMIC	WORKERS COMP	$346
WC VELOCITY	WORKERS COMP	$346
WC ACUITY	WORKERS COMP	$346
WC MERCY WORKCARE	WORKERS COMP	$346
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$346
WC INTERCARE INSURANCE	WORKERS COMP	$346
WC TRISTAR	WORKERS COMP	$346
WC TYSON	WORKERS COMP	$346
WC SOCIETY	WORKERS COMP	$346
WC ONE CALL MEDICAL	WORKERS COMP	$346
WC OHIO BUREAU	WORKERS COMP	$346
WC UNITED HEARTLAND	WORKERS COMP	$346
WC EMC INSURANCE COMPANY	WORKERS COMP	$346
WC US DEPT OF LABOR	WORKERS COMP	$346
WC HORIZON	WORKERS COMP	$346
WC IDAHO STATE INS FUND	WORKERS COMP	$346
WC QUALCARE	WORKERS COMP	$346
GENEX WC	WORKERS COMP	$346
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$346
WC CLAIMS MGMT INC	WORKERS COMP	$346
WC CITY OF SIOUX CITY	WORKERS COMP	$346
WC JOHNS EASTERN	WORKERS COMP	$346
WC FCCI	WORKERS COMP	$346
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$346
WC SENTRY	WORKERS COMP	$346
RX RESTAT	WORKERS COMP	$346
WC GREAT WEST CASUALTY	WORKERS COMP	$346
WC HAB	WORKERS COMP	$346
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$346
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$346
WC RURAL MUTUAL	WORKERS COMP	$346
WC BERKLEY ADMIN	WORKERS COMP	$346
WC ZURICH	WORKERS COMP	$346
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$346
WC FRESNO UNIFIED EMP	WORKERS COMP	$346
WC ICW GROUP	WORKERS COMP	$346
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$346
WC TRAVELERS	WORKERS COMP	$346
WC MAC RISK MANAGEMENT	WORKERS COMP	$346
WC GUARANTEE INSURANCE	WORKERS COMP	$346
WC NOVANET	WORKERS COMP	$346
WC CNA	WORKERS COMP	$346
WC BROADSPIRE	WORKERS COMP	$346
RX WORKER'S COMP	WORKERS COMP	$346
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$346
WC CHUBB	WORKERS COMP	$346
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$346
WC NORTH AMERICAN RISHCES	WORKERS COMP	$346
WC CHARTIS	WORKERS COMP	$346
WC GUARD INSURANCE COMPANY	WORKERS COMP	$346
WC AMERISURE	WORKERS COMP	$346
WC ZENITH	WORKERS COMP	$346
WC AMTRUST	WORKERS COMP	$346
WC ENCORE HEALTH NETWORK	WORKERS COMP	$346
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$346
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$346
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$346
WC AEGIS	WORKERS COMP	$346
WC MEADOWBROOK CLAIM	WORKERS COMP	$346
WC EVOLUTIONS	WORKERS COMP	$346
WC HARTFORD	WORKERS COMP	$346
WC ALLIED	WORKERS COMP	$346
WC EMPLOYEE MUTUAL	WORKERS COMP	$346
WC ACCIDENT FUND	WORKERS COMP	$346
WC ACE	WORKERS COMP	$346
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$346
WC MICHIGAN	WORKERS COMP	$346
WC MDIA	WORKERS COMP	$346
WC NOTRE DAME	WORKERS COMP	$346
WC PROCURA MANAGEMENT	WORKERS COMP	$346
WC GENERIC	WORKERS COMP	$346
WC RISICO	WORKERS COMP	$346
JAG SOURCE	WORKERS COMP	$346
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$346
WC BUNCH & ASSOCIATES	WORKERS COMP	$346
WC GENERAL MOTORS	WORKERS COMP	$346
WC NATIONWIDE	WORKERS COMP	$346
WC CITY OF ALBANY	WORKERS COMP	$346
ANDRIE INC	WORKERS COMP	$346
WC MASSACHUSETTS	WORKERS COMP	$346
WC NORTHEAST HEALTH	WORKERS COMP	$346
WC PRICE CHOPPER	WORKERS COMP	$346
WC SHEAKLEY UNICOMP	WORKERS COMP	$346
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$346
WC NCA COMP	WORKERS COMP	$346
WC NEW YORK	WORKERS COMP	$346
WC FED EX	WORKERS COMP	$346
WC MEIJERS	WORKERS COMP	$346
WC MITCHELL FRANKENMUTH	WORKERS COMP	$346
WC ASU RISK MGT	WORKERS COMP	$346
WC FORD MOTOR	WORKERS COMP	$346
WC GENEX CARE FOR OHIO	WORKERS COMP	$346
WC HEALTH MANAGEMENT	WORKERS COMP	$346
WC FEDERAL BLACK LUNG	WORKERS COMP	$346
RX SAIF OPDP WC	WORKERS COMP	$346
WC HIRERIGHT	WORKERS COMP	$346
WC BENETECH	WORKERS COMP	$346
WC COMPONE ADMIN	WORKERS COMP	$346
WC SMILE LODGE	WORKERS COMP	$346
WC TACONIC (MRO)	WORKERS COMP	$346
WC SRS	WORKERS COMP	$346
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$346
WC TRAVELERS	WORKERS COMP	$346
ANDRIE INC	WORKERS COMP	$346
WC CITY OF ALBANY	WORKERS COMP	$346
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$346
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$346
WC O'HARA CORP	WORKERS COMP	$346
WC QUIKTRIP	WORKERS COMP	$346
WC EMC INSURANCE COMPANY	WORKERS COMP	$346
WC US DEPT OF LABOR	WORKERS COMP	$346
WC MEMIC	WORKERS COMP	$346
WC SOCIETY	WORKERS COMP	$346
WC ONE CALL MEDICAL	WORKERS COMP	$346
WC CT HEALTHCARE TRUST	WORKERS COMP	$346
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$346
WC MASSACHUSETTS	WORKERS COMP	$346
WC RISICO	WORKERS COMP	$346
JAG SOURCE	WORKERS COMP	$346
WC ACCIDENT FUND	WORKERS COMP	$346
WC PROCURA MANAGEMENT	WORKERS COMP	$346
WC CHUBB	WORKERS COMP	$346
WC OCC HEALTH ALLEN	WORKERS COMP	$346
WC ACE	WORKERS COMP	$346
WC AEGIS	WORKERS COMP	$346
WC ALLIED	WORKERS COMP	$346
WC AIMS	WORKERS COMP	$346
WC ADVANTAGE	WORKERS COMP	$346
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$346
WC TACONIC (MRO)	WORKERS COMP	$346
WC AM TRUST N AMERICA	WORKERS COMP	$346
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$346
WC NORTHEAST HEALTH	WORKERS COMP	$346
WC PRICE CHOPPER	WORKERS COMP	$346
WC FEDERAL BLACK LUNG	WORKERS COMP	$346
WC TYSON	WORKERS COMP	$346
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$346
WC CNA	WORKERS COMP	$346
WC YORK RISK	WORKERS COMP	$346
WC SHEAKLEY UNICOMP	WORKERS COMP	$346
RX WORKER'S COMP	WORKERS COMP	$346
WC REV CLAIMS	WORKERS COMP	$346
WC BROADSPIRE	WORKERS COMP	$346
WC NORTH AMERICAN RISHCES	WORKERS COMP	$346
WC CHARTIS	WORKERS COMP	$346
WC GUARD INSURANCE COMPANY	WORKERS COMP	$346
WC HORIZON	WORKERS COMP	$346
WC NATIONWIDE	WORKERS COMP	$346
WC ENCORE HEALTH NETWORK	WORKERS COMP	$346
WC PARADIGM	WORKERS COMP	$346
WC ALASKA NATIONAL INS	WORKERS COMP	$346
WC GUARANTEE INSURANCE	WORKERS COMP	$346
WC NOVANET	WORKERS COMP	$346
WC FCCI	WORKERS COMP	$346
WC AMERISURE	WORKERS COMP	$346
WC ZENITH	WORKERS COMP	$346
WC AMTRUST	WORKERS COMP	$346
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$346
WC CITY OF SIOUX CITY	WORKERS COMP	$346
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$346
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$346
WC FRESNO UNIFIED EMP	WORKERS COMP	$346
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$346
WC MRA	WORKERS COMP	$346
WC CIRMA	WORKERS COMP	$346
WC UNITED HEARTLAND	WORKERS COMP	$346
WC HASTINGS	WORKERS COMP	$346
WC GENERIC	WORKERS COMP	$346
WC EVOLUTIONS	WORKERS COMP	$346
WC CLAIMS MGMT INC	WORKERS COMP	$346
WC INTERCARE INSURANCE	WORKERS COMP	$346
WC ICW GROUP	WORKERS COMP	$346
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$346
WC MICHIGAN	WORKERS COMP	$346
WC SECURA	WORKERS COMP	$346
WC ESIS	WORKERS COMP	$346
WC ERIE	WORKERS COMP	$346
WC GALLAGHER BASSETT	WORKERS COMP	$346
WC FEDERATED	WORKERS COMP	$346
WC TACONIC FARMS	WORKERS COMP	$346
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$346
WC SENTRY	WORKERS COMP	$346
GENEX WC	WORKERS COMP	$346
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$346
HEALTHSMART WORKERS COMP	WORKERS COMP	$346
WC LIBERTY MUTUAL	WORKERS COMP	$346
WC CCMSI	WORKERS COMP	$346
WC WEST BEND	WORKERS COMP	$346
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$346
WC IDAHO STATE INS FUND	WORKERS COMP	$346
WC QUALCARE	WORKERS COMP	$346
WC ACUITY	WORKERS COMP	$346
WC VELOCITY	WORKERS COMP	$346
WC HAB	WORKERS COMP	$346
WC ENABLECOMP	WORKERS COMP	$346
WC JOHNS EASTERN	WORKERS COMP	$346
WC MAC RISK MANAGEMENT	WORKERS COMP	$346
WC AIG	WORKERS COMP	$346
WC SAIF OREGON	WORKERS COMP	$346
WC ALIGN NETWORK	WORKERS COMP	$346
WC EMPLOYEE MUTUAL	WORKERS COMP	$346
WC MDIA	WORKERS COMP	$346
WC NOTRE DAME	WORKERS COMP	$346
WC HARTFORD	WORKERS COMP	$346
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$346
WC GREAT WEST CASUALTY	WORKERS COMP	$346
WC TRISTAR	WORKERS COMP	$346
WC MERCY WORKCARE	WORKERS COMP	$346
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$346
WC PMA	WORKERS COMP	$346
WC RURAL MUTUAL	WORKERS COMP	$346
WC BERKLEY ADMIN	WORKERS COMP	$346
WC ZURICH	WORKERS COMP	$346
WC OHIO BUREAU	WORKERS COMP	$346
WC PEERLESS	WORKERS COMP	$346
WC SEDGWICK	WORKERS COMP	$346
WC AETNA	WORKERS COMP	$346
WC BUNCH & ASSOCIATES	WORKERS COMP	$346
WC WALMART	WORKERS COMP	$346
WC TROY NY	WORKERS COMP	$346
WC TRIAD GROUP	WORKERS COMP	$346
RX RESTAT	WORKERS COMP	$346
WC SMILE LODGE	WORKERS COMP	$346
WC HEALTH MANAGEMENT	WORKERS COMP	$346
WC HIRERIGHT	WORKERS COMP	$346
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$346
WC NCA COMP	WORKERS COMP	$346
WC NEW YORK	WORKERS COMP	$346
RX SAIF OPDP WC	WORKERS COMP	$346
WC MITCHELL FRANKENMUTH	WORKERS COMP	$346
WC MEADOWBROOK CLAIM	WORKERS COMP	$346
WC RENY COMPANY	WORKERS COMP	$346
WC KEMBERTON	WORKERS COMP	$346
WC YANKEE TRAILS	WORKERS COMP	$346
WC INTERMOUNTAIN	WORKERS COMP	$346
NJM INSURANCE GROUP	WORKERS COMP	$346
RX HEATLHCOMP	WORKERS COMP	$346
WC BENETECH	WORKERS COMP	$346
WC COMPONE ADMIN	WORKERS COMP	$346
WC FED EX	WORKERS COMP	$346
WC GENEX CARE FOR OHIO	WORKERS COMP	$346
WC MEIJERS	WORKERS COMP	$346
WC SRS	WORKERS COMP	$346
WC GENERAL MOTORS	WORKERS COMP	$346
WC ASU RISK MGT	WORKERS COMP	$346
WC FORD MOTOR	WORKERS COMP	$346
MULTIPLAN	BEECH STREET	$499.10
MULTIPLAN	BEECH STREET	$508.90
MULTIPLAN	BEECH STREET	$508.90
GEHA	UNITED HEALTHCARE HMO CHOICE PLUS	$535
UNITED HEALTHCARE	UNITED HEALTHCARE HMO CHOICE PLUS	$535
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$559.20
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$559.20
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$559.20
UNITED HEALTHCARE MEDICARE	UNITED HEALTHCARE MEDICARE ADVANTAGE	$559.20
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$559.20
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$570.38
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$570.38
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$570.40
AXIS SERVICES	INTERNATIONAL	$570.40
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$570.40
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$570.40
SANUS HEALTHCARE	INTERNATIONAL	$570.40
SELECTCARE WORLDWIDE	INTERNATIONAL	$570.40
SUNMED INTERNATIONAL	INTERNATIONAL	$570.40
STAR HEALTHCARE NETWORK	INTERNATIONAL	$570.40
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$570.40
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$570.40
GLOBAL BENEFITS GROUP	INTERNATIONAL	$570.40
PENFIELD CARE	INTERNATIONAL	$570.40
AXA ASSISTANCE US	INTERNATIONAL	$570.40
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$570.40
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$570.40
FREEDOM HEALTH MEDICARE ADVANTAGE	FREEDOM HEALTH MEDICARE ADVANTAGE	$570.61
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$570.61
COVENTRY MEDICARE ADVANTAGE	COVENTRY MEDICARE ADVANTAGE	$570.61
RYAN WHITE FLORIDA MSSRP	POSITIVE HEALTH PARTNERS MEDICARE ADV	$570.61
OSCAR MEDICARE ADVANTAGE	OSCAR MEDICARE ADVANTAGE	$570.61
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$570.61
VITAS HEALTHCARE CORP	VITAS HEALTHCARE	$570.61
CATHOLIC HOSPICE	CATHOLIC HOSPICE	$570.61
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$572.04
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$572.04
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$575.97
SELECTCARE WORLDWIDE	INTERNATIONAL	$581.60
SELECTCARE WORLDWIDE	INTERNATIONAL	$581.60
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$581.60
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$581.60
STAR HEALTHCARE NETWORK	INTERNATIONAL	$581.60
STAR HEALTHCARE NETWORK	INTERNATIONAL	$581.60
AXIS SERVICES	INTERNATIONAL	$581.60
AXIS SERVICES	INTERNATIONAL	$581.60
SUNMED INTERNATIONAL	INTERNATIONAL	$581.60
PENFIELD CARE	INTERNATIONAL	$581.60
SUNMED INTERNATIONAL	INTERNATIONAL	$581.60
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$581.60
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$581.60
SANUS HEALTHCARE	INTERNATIONAL	$581.60
SANUS HEALTHCARE	INTERNATIONAL	$581.60
AXA ASSISTANCE US	INTERNATIONAL	$581.60
AXA ASSISTANCE US	INTERNATIONAL	$581.60
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$581.60
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$581.60
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$581.60
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$581.60
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$581.60
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$581.60
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$581.60
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$581.60
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$581.60
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$581.60
GLOBAL BENEFITS GROUP	INTERNATIONAL	$581.60
GLOBAL BENEFITS GROUP	INTERNATIONAL	$581.60
PENFIELD CARE	INTERNATIONAL	$581.60
UNITED HEALTHCARE	UNITED HEALTHCARE OPTIONS PPO	$584
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$587.16
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$587.16
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$587.16
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$587.16
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$587.16
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$587.16
MEDICAID - NE	MEDICAID	$592.17
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$599.14
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$599.14
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$599.14
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$599.14
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$599.14
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$668.44
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$705.19
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$705.19
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$705.19
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$705.19
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$705.19
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$705.19
BLUE CROSS - FL	BCBS MY BLUE	$727
MEDICAID - NE	MEDICAID	$727
MEDICAID - NE	MEDICAID	$727
AVMED HEALTH PLAN	AVMED HMO	$729.46
MOLINA MARKETPLACE	MOLINA MARKETPLACE HMO	$815.60
BLUE CROSS - FL	BCBS HEALTH OPTIONS HMO	$866
BLUE CROSS - FL	TRULI FOR HEALTH	$873.03
OSCAR	OSCAR MARKETPLACE HEALTH PLAN	$970.04
AMBETTER	AMBETTER MARKETPLACE	$997.44
AVMED HEALTH PLAN	AVMED ENTRUST MARKETPLACE	$1,049.92
CURATIVE	CURATIVE	$1,055.63
BLUE CROSS - FL	BCBS NETWORK BLUE	$1,155
CENTIVO	CENTIVO	$1,226.81
AVMED HEALTH PLAN	AVMED SELECT NETWORK	$1,397.75
BLUE CROSS - AL	BCBS PPC	$1,622
BLUE CROSS - SD (WELLMARK)	BCBS PPC	$1,622
BLUE CROSS - NH (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - NV (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - OH (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - MT	BCBS PPC	$1,622
BLUE CROSS - MS	BCBS PPC	$1,622
BLUE CROSS DOMESTIC	BCBS PPC	$1,622
KAISER DOMESTIC	BCBS PPC	$1,622
BCN DOMESTIC	BCBS PPC	$1,622
BLUE CROSS - MD (CAREFIRST)	BCBS PPC	$1,622
BLUE CROSS - ME (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - KY (ANTHEM)	BCBS PPC	$1,622
BLUE SHIELD - ID (REGENCE)	BCBS PPC	$1,622
BLUE CARE NETWORK	BCBS PPC	$1,622
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPC	$1,622
BLUE CROSS - NM	BCBS PPC	$1,622
BLUE CROSS - NY (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - NY (EXCELLUS)	BCBS PPC	$1,622
BLUE CROSS - SC	BCBS PPC	$1,622
BLUE CROSS - ID	BCBS PPC	$1,622
BLUE CROSS - HI	BCBS PPC	$1,622
BLUE CROSS - PA (CAPITAL)	BCBS PPC	$1,622
BLUE SHIELD - PA (HIGHMARK)	BCBS PPC	$1,622
BLUE CROSS - GA (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - DC (CAREFIRST)	BCBS PPC	$1,622
BLUE CROSS - MO (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - CT (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - ND	BCBS PPC	$1,622
BLUE CROSS - DE (HIGHMARK)	BCBS PPC	$1,622
WC DOMESTIC	BCBS PPC	$1,622
BLUE CROSS - CO (ANTHEM)	BCBS PPC	$1,622
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPC	$1,622
PRE-EMPLOYMENT	BCBS PPC	$1,622
BLUE CROSS - VA (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - WA (PREMERA)	BCBS PPC	$1,622
BLUE CROSS - VA (CAREFIRST)	BCBS PPC	$1,622
BLUE SHIELD - WA (REGENCE)	BCBS PPC	$1,622
BLUE CROSS - TX	BCBS PPC	$1,622
BLUE CROSS - TN	BCBS PPC	$1,622
BLUE CROSS - UT (REGENCE)	BCBS PPC	$1,622
BLUE CROSS - VT	BCBS PPC	$1,622
BLUE CROSS - RI	BCBS PPC	$1,622
BLUE CROSS - OR (REGENCE)	BCBS PPC	$1,622
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPC	$1,622
BLUE CROSS - MA	BCBS PPC	$1,622
BLUE CROSS - NC	BCBS PPC	$1,622
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPC	$1,622
BLUE CROSS - OK	BCBS PPC	$1,622
BLUE CROSS - LA	BCBS PPC	$1,622
BLUE CROSS - WV (HIGHMARK)	BCBS PPC	$1,622
BLUE CROSS - NE	BCBS PPC	$1,622
BLUE CROSS - AZ	BCBS PPC	$1,622
HEALTH CHOICES	BCBS PPC	$1,622
BLUE CROSS - AK (PREMERA)	BCBS PPC	$1,622
BLUE CROSS - NJ (HORIZON)	BCBS PPC	$1,622
BLUE CROSS - MI	BCBS PPC	$1,622
BLUE CROSS - WI (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - IL ALTERNATE	BCBS PPC	$1,622
BLUE CROSS - KS	BCBS PPC	$1,622
BLUE CROSS - IN (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - MN	BCBS PPC	$1,622
BLUE CROSS - WY	BCBS PPC	$1,622
BLUE CROSS - CA (ANTHEM)	BCBS PPC	$1,622
BLUE CROSS - AR	BCBS PPC	$1,622
BLUE SHIELD - CA	BCBS PPC	$1,622
BLUE CROSS - FEDERAL	BCBS PPC	$1,622
BCBS GENERIC	BCBS PPC	$1,622
BLUE CROSS - IL	BCBS PPC	$1,622
BLUE DISTINCTION TRANSPLANT	BCBS PPC	$1,622
BLUE CROSS - IA (WELLMARK)	BCBS PPC	$1,622
MOLINA MEDICAID	MOLINA HEALTHCARE MEDICAID	$1,677.30
BLUE CROSS - FL	BCBS TRADITIONAL PHS	$1,715
WC CORVEL	WORKERS COMP	$1,979.23
WC BROWARD COUNTY	WORKERS COMP	$1,979.23
WC HERITAGE SUMMIT	WORKERS COMP	$2,020.90
CIGNA	CIGNA IFP	$2,113.40
FIRST HEALTH	FIRST HEALTH INTERNATIONAL	$2,230.81
CIGNA	CIGNA SUREFIT	$2,342.63
UPMC HEALTH PLAN	CIGNA HMO/PPO	$2,627.77
MVP	CIGNA HMO/PPO	$2,627.77
CIGNA	CIGNA HMO/PPO	$2,627.77
BRIDGE HEALTH	BRIDGE HEALTH MEDICAL	$2,795.50
AETNA	AETNA GLOBAL BENEFITS	$2,806.68
AETNA	AETNA MARKETPLACE	$2,890.55
MEMORIAL INTEGRATED HEALTH	MEMORIAL HEALTH SYSTEM	$3,014.67
COMMUNITY CARE PLAN	MEMORIAL HEALTH SYSTEM	$3,014.67
FIRST HEALTH	FIRST HEALTH	$3,281.92
CONNECTICARE	FIRST HEALTH	$3,281.92
EMBLEM HEALTH	FIRST HEALTH	$3,281.92
CMN GLOBAL	INTERNATIONAL	$3,354.60
GLOBAL MEDICAL MANAGEMENT	INTERNATIONAL	$3,354.60
SANUS HEALTHCARE	SANUS HEALTH MAINTENANCE ADMINISTRATORS	$3,354.60
MORGAN WHITE ADMINISTRATORS	MORGAN WHITE ADMINISTRATORS	$3,354.60
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$3,354.60
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$3,354.60
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$3,354.60
AXA ASSISTANCE US	INTERNATIONAL	$3,354.60
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$3,354.60
PENFIELD CARE	INTERNATIONAL	$3,354.60
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$3,354.60
GLOBAL BENEFITS GROUP	GLOBAL BENEFITS PLAN	$3,354.60
GUARDIAN	INTERNATIONAL	$3,354.60
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$3,354.60
QUALITY HEALTH MANAGEMENT	INTERNATIONAL	$3,354.60
AXIS SERVICES	INTERNATIONAL	$3,354.60
SUNMED INTERNATIONAL	SUNMED INTERNATIONAL	$3,466.42
INTERNATIONAL GENERIC	STAR HEALTHCARE NETWORK PPO	$3,634.15
ALLIED BENEFIT SYSTEMS	AETNA COVENTRY	$3,807.47
COVENTRY	AETNA COVENTRY	$3,807.47
MERITAIN	AETNA COVENTRY	$3,807.47
AETNA	AETNA COVENTRY	$3,807.47
UNICARE	PHCS	$3,913.70
PHCS	PHCS	$3,913.70
HUMANA	HUMANA HMO-PPO	$4,092.61
MULTIPLAN	DIMENSION HEALTH MULTIPLAN	$4,920.08
MULTIPLAN	BEECH STREET	$4,920.08
HUMANA MEDICAID	HUMANA MEDICAID HMO	$5,591
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH PLAN MEDICAID	$5,591
WELLCARE MEDICAID	SUNSHINE STATE HEALTH PLAN MEDICAID	$5,591
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	COMMUNITY CARE PLAN MEDICAID	$5,591
GENERAL ELECTRIC	GENERAL ELECTRIC	$5,591
HOSPICE VITAS	VITAS HEALTHCARE HOSPICE	$5,591
SUNBELT INTERNATIONAL	SUNBELT INTERNATIONAL	$5,591
COMMUNITY CARE PLAN	CCP BROWARD HEART	$5,591
HEARTLAND HOSPICE	HEARTLAND HOSPICE	$5,591

Key finding: Negotiated rates for code 93306 range from $43.03 (Medicaid, Holy Cross) to $17,791.20 (AIDS Healthcare MGMCD, HCA Florida Kendall), a 413-fold difference.

What to Do With These Echocardiogram Prices

Pin down the exact echo before asking for a price. Every row on this page is code 93306, a transthoracic echocardiogram with Doppler. Ask the ordering office for the exact CPT code, and whether the order is with or without contrast, since contrast changes the code. Then ask the hospital for its cash or self-pay price for that code and an itemized estimate.

Test a quote against the spread. Published cash prices run from $514 at Jackson Memorial Hospital to $6,269.90 at Memorial Hospital Miramar. At 12 of 30 hospitals the cash price equals the gross charge, and at 9 rows cash is above every insured rate at the same hospital. At HCA Florida JFK Hospital, for example, cash is $5,845 while the insured rate is $3,448.55. If you have insurance, you can ask your plan for its negotiated rate for 93306 and set it next to the hospital's cash quote.

Look at who bills what. The figures here are the hospital (technical) charge only. The cardiologist or radiologist who reads the images usually sends a separate professional bill. On your statement, check that the facility fee and the reading fee are separate lines, and ask whether the quote includes both.

Know what is missing. Nicklaus Children's Hospital shows no gross or cash price. That is missing data, not a free service, so call them directly. Outpatient and freestanding imaging centers are not in this dataset and may price differently.

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 Echocardiogram Costs

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

Cash prices for code 93306 range from $514 at Jackson Memorial, Jackson North, Jackson South, and Jackson West to $16,025 at HCA Northwest. Other cash prices include $550.37 at Lakeside Medical Center, $727 at Holy Cross Fort Lauderdale, $2,561.65 at Cleveland Clinic Weston, $2,720.25 at Boca Raton Regional, $3,744.25 at Mount Sinai Miami Beach, $4,108.65 at the Baptist-affiliated hospitals, $6,269.90 at the Memorial hospitals, and $11,746 to $14,826 at several HCA hospitals. Nicklaus Children's lists $0, which appears to be incomplete data; its insured range is $2,998.44 to $3,328.21. These figures are facility fees. Physician and professional fees are billed separately.

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

The gross charge, or chargemaster price, is a hospital's full list price before any discounts. Almost no one pays it. Cash prices are typically set as a percentage of gross. At Jackson Memorial, the cash price of $514 is 19% of the $2,708 gross charge. At Baptist Hospital Miami, the cash price of $4,108.65 is 65% of the $6,321 gross charge. Baptist's discount is smaller in percentage terms, but its cash price is still about eight times higher than Jackson Memorial's. Other hospitals, including HCA Northwest at $16,025, list a cash price equal to the gross charge.

Does insurance cover a echocardiogram?

Coverage depends on the specific plan and on whether the insurer considers the service medically necessary. Negotiated rates for code 93306 vary widely, from $43.03 to $17,791.20 across the payers in the data. Non-emergency imaging may require prior authorization from the insurer. For patients on high-deductible plans who have not yet met their deductible, the amount owed is generally the negotiated rate for the plan, not the gross charge. Once the deductible is met, cost-sharing such as coinsurance or copayments applies according to the plan's terms.

Are there additional fees beyond the echocardiogram facility charge?

Yes. The prices listed are facility fees, which cover the room, equipment, and technical staff. The physician who reviews and interprets the echocardiogram typically bills a separate professional fee, and that interpretation fee is not included in the hospital figures shown here. If the test is performed in the emergency department, a separate emergency room facility fee may also apply. Depending on the setting, additional services such as contrast agents may be billed separately. None of these additional charges appear in the source data, so no dollar amounts are given for them.

What is the cash price for an echocardiogram at Jackson Memorial Hospital in Miami?

Jackson Memorial Hospital publishes a cash price of $514 for CPT 93306, the lowest cash price on this page. Its gross charge is $2,708, so the cash price is 19% of gross. This is a facility charge only and does not include separate professional or physician fees.

What is the highest published echocardiogram price in the Miami-Fort Lauderdale-West Palm Beach area?

HCA Florida Northwest Hospital shows the highest price on this page for 93306: a gross charge and cash price of $16,025. The hospital publishes no self-pay discount, since cash equals gross. Excluding hospitals where cash equals gross, the highest cash price is $6,269.90 at Memorial Hospital Miramar. These are facility charges only.

How much does Aetna pay for a 93306 echocardiogram in South Florida?

Across 29 hospitals on this page, Aetna's published rates for 93306 run from $50.66 at Lakeside Medical Center to $4,807.50 at HCA Florida Northwest Hospital, with a median of $1,522.69. The highest is about 95x the lowest. These are facility rates only, and one hospital has no Aetna data.

What is the echocardiogram price at Nicklaus Children's Hospital?

Nicklaus Children's Hospital has no published cash price and no gross charge for 93306 on this page. Both fields are blank or $0, which means missing data, not free. The page lists insured rates there from $2,998.44 to $3,328.21. Those figures are facility charges only.

Does Holy Cross Hospital in Fort Lauderdale offer a self-pay discount on CPT 93306?

No discount is published. Holy Cross Hospital lists a cash price of $727, equal to its $727 gross charge, so cash is 100% of gross. Its insured rates for 93306 run from $43.03 to $5,591, across 3,277 published rates. All figures are facility charges only.

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

Colonoscopy Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $698 to $4,388.30.

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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Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

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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